title: [Granulomatous spondylodiscitis: due mainly to tuberculosis but lymphoma cannot be excluded].
abstract: Lower back pain is due to multiple etiologies that make diagnosis difficult. Primitive spinal lymphoma is rare and its diagnosis often requires ultrasound-guided biopsy. A 30-year old man hospitalized for inflammatory lumbago evolving within the context of an impaired general condition. Phisical examination revealed pain on palpation of the L2-L3 vertebral apophysis without peripheral tumor syndrome. Laboratory tests showed an inflammatory syndrome. Morphological assessment was in favour of a spondylodiscitis. The first biopsy showed granulomatous osteitis.Clinical and radiological worsening during antibacillary treatment led to reconsider the original diagnosis and a second biopsy confirmed the diagnosis of lymphoma. The diagnosis of skeletal tuberculosis in particular spinal tuberculosis requires bacteriological or histological confirmation in order not to overlook a primitive bone lymphoma.
authors.affiliation: Service de Médecine A HMIM V, Rabat, Maroc.
authors.forename: Ali
authors.initials: A
authors.lastname: Zinebi
authors.affiliation: Service de Médecine A HMIM V, Rabat, Maroc.
authors.forename: Adil
authors.initials: A
authors.lastname: Rkiouak
authors.affiliation: Service de Médecine A HMIM V, Rabat, Maroc.
authors.forename: Yousef
authors.initials: Y
authors.lastname: Akhouad
authors.affiliation: Service de Médecine A HMIM V, Rabat, Maroc.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Reggad
authors.affiliation: Service de Médecine A HMIM V, Rabat, Maroc.
authors.forename: Zohour
authors.initials: Z
authors.lastname: Kasmy
authors.affiliation: Service de Médecine A HMIM V, Rabat, Maroc.
authors.forename: Mostafa
authors.initials: M
authors.lastname: Boudlal
authors.affiliation: Service de Médecine A HMIM V, Rabat, Maroc.
authors.forename: Abdelhamid Nait
authors.initials: AN
authors.lastname: Lho
authors.affiliation: Service de Médecine A HMIM V, Rabat, Maroc.
authors.forename: Moncef
authors.initials: M
authors.lastname: Rabhi
authors.affiliation: Service d'Anatomopathologie HMIM V, Rabat, Maroc.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Sinaa
authors.affiliation: Service de Médecine A HMIM V, Rabat, Maroc.
authors.forename: Khalid
authors.initials: K
authors.lastname: Ennibi
authors.affiliation: Service de Médecine A HMIM V, Rabat, Maroc.
authors.forename: Jilali
authors.initials: J
authors.lastname: Chaari
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000008:administration & dosage; D015299:Discitis / Q000209:etiology* / Q000473:pathology; D006099:Granuloma / Q000209:etiology / Q000473:pathology; D006801:Humans; D061705:Image-Guided Biopsy / Q000379:methods; D017116:Low Back Pain / Q000209:etiology*; D008223:Lymphoma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D010000:Osteitis / Q000175:diagnosis / Q000473:pathology; D014399:Tuberculosis, Spinal / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D018084:Ultrasonography, Interventional
chemical_list: D000995:Antitubercular Agents
keywords: Vertebral lymphoma; granulomatous osteitis; tuberculous spondylodiscitis