An Uncommon Cause Of Back Pain - Page #3

Lab Studies:
CBC was notable for an elevated WBC of 13.3 with 84% neutrophils. His BMP was: Na 139, K 4.5, Cl 102, Co2 24, BUN 14, Cr 1.28, AG 13. CPK was 89, ESR was 15, and CRP was 94. Urinalysis was: spec gravity 1.012, pH 6.0, neg leukocyte esterase, neg nitrite,

Other Studies:
Lumbar spine plain films were normal Case Photo #1 and Case Photo #2. Thoracic and lumbar spine MRI revealed abnormal T2 signal enhancement in the paraspinal musculature along the left L1-L3 levels with extension in the the epidural space near L2-L3. No discernable abscess or evidence of osteomyelitis was seen Case Photo #3and Case Photo #4

The Infectious Diseases and Orthopaedic Surgery teams were consulted.

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.

NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415

Website created by the computer geek