Spondylodiscitis initially presenting as exudative pleural effusion: A case report and review of the literature

被引:0
作者
Park, Jongmin [1 ,2 ]
Park, Byunggeon [1 ,3 ]
Lim, Jae-Kwang [1 ,2 ]
Shin, Kyung Min [1 ,3 ]
Cha, Jung Guen [2 ]
Hong, Jihoon [2 ]
Kim, Yun Su [4 ]
Park, Jongsoo [5 ]
机构
[1] Kyungpook Natl Univ, Sch Med, Dept Radiol, 680 Gukchaebosang Ro, Daegu 41944, South Korea
[2] Kyungpook Natl Univ Hosp, Dept Radiol, 130 Dongdeok Ro, Daegu 41944, South Korea
[3] Kyungpook Natl Univ, Chilgok Hosp, Dept Radiol, 807 Hogukno, Daegu 41404, South Korea
[4] Catholic Univ Daegu, Coll Med, Med Ctr, Dept Radiol, 33 Duryugongwon Ro 17 Gil, Daegu 42472, South Korea
[5] Seoul Natl Univ Hosp, Dept Radiol, 101 Daehak Ro, Seoul 03080, South Korea
关键词
Pleural effusion; Spondylodiscitis; CT; MRI; PYOGENIC VERTEBRAL OSTEOMYELITIS; CT-GUIDED BIOPSY; SPINE;
D O I
10.1016/j.ejro.2020.100279
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Pleural effusions are associated with a variety of disease states, rendering the differential diagnosis challenging. Spondylodiscitis is an uncommon disease, and its prompt diagnosis can reduce morbidity and mortality. However, an atypical manifestation of the disease, such as pleural effusion, can result in delayed diagnosis. A 76-year-old woman presented with back pain and right pleural effusion. Magnetic resonance imaging revealed paravertebral soft tissue infiltration, with enhancement of bone marrow and intervertebral disk at the T8 and T9 levels, suggesting spondylodiscitis. In patients with exudative pleural effusion, spondylodiscitis may be the cause, so careful analysis of imaging is necessary.
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页数:4
相关论文
共 13 条
[1]   Pyogenic vertebral osteomyelitis presenting as exudative pleural effusion - A series of five cases [J].
Bass, SN ;
Ailani, RK ;
Shekar, R ;
Gerblich, AA .
CHEST, 1998, 114 (02) :642-647
[2]   Infectious spondylodiscitis [J].
Cottle, Lucy ;
Riordan, Terry .
JOURNAL OF INFECTION, 2008, 56 (06) :401-412
[3]   Evolution of idiopathic pleural effusion - A prospective, long-term follow-up study [J].
Ferrer, JS ;
Munoz, XG ;
Orriols, RM ;
Light, RW ;
Morell, FB .
CHEST, 1996, 109 (06) :1508-1513
[4]   Salmonella osteomyelitis of the thoracic spine: an unusual presentation [J].
Gupta, SK ;
Pandit, A ;
White, DG ;
Evans, PD .
POSTGRADUATE MEDICAL JOURNAL, 2004, 80 (940) :110-111
[5]   Incidence of delayed complications following percutaneous CT-guided biopsy of bone and soft tissue lesions of the spine and extremities: A 2-year prospective study and analysis of risk factors [J].
Huang, Ambrose J. ;
Halpern, Elkan F. ;
Rosenthal, Daniel I. .
SKELETAL RADIOLOGY, 2013, 42 (01) :61-68
[6]   Spinal osteomyelitis presenting with a life-threatening pleural empyema [J].
Jari, S ;
ElGamel, A ;
Meadows, TH ;
Campbell, C .
SPINE, 1996, 21 (23) :2806-2808
[7]  
Jouneau Stephane, 2004, Eur J Intern Med, V15, P323, DOI 10.1016/j.ejim.2004.05.005
[8]   Pleural effusion: diagnosis, treatment, and management [J].
Karkhanis, Vinaya S. ;
Joshi, Jyotsna M. .
OPEN ACCESS EMERGENCY MEDICINE, 2012, 4 :31-52
[9]   Increasing incidence of pyogenic spondylodiscitis: A 14-year population-based study [J].
Kehrer, Michala ;
Pedersen, Court ;
Jensen, Thoger G. ;
Lassen, Annmarie T. .
JOURNAL OF INFECTION, 2014, 68 (04) :313-320
[10]   Pyogenic Vertebral Osteomyelitis: A Systematic Review of Clinical Characteristics [J].
Mylona, E. ;
Samarkos, M. ;
Kakalou, E. ;
Fanourgiakis, P. ;
Skoutelis, A. .
SEMINARS IN ARTHRITIS AND RHEUMATISM, 2009, 39 (01) :10-17