An Uncommon Cause Of Back Pain

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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 #3 and Case Photo #4 Consultations: 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.		Back
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