Clinical Case Database / Category: Patient Management
Discitis: the cause of a PUO
Ian C Bickle MB, BCh, BAO (Hons), FRCR, Asma Lina Fazlanie BMedSci (Hons)
Foundation Years Journal, volume 3, issue 8, p.13 (123Doc Education, London, October 2010)
A 69-year-old gentleman was admitted with a presumed lower respiratory tract infection (LRTI) for which he received treatment on a general medical ward. After a failure to respond to first line antibiotic therapy, the clinical assumption was inferred that this was due to infection with an atypical organism. On deeper clinical questioning the patient revealed mild back pain of short duration that commenced following a recent camping trip. After an unsuccessful response to numerous antimicrobials, investigations were initiated for a pyrexia of unknown origin (PUO). After multiple negative investigations, including plain films of the lumbar spine, a radioisotope (indium) WCC scan was performed.
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Ian C Bickle MB, BCh, BAO (Hons), FRCR
Sheffield Hospitals Trust
Royal Hallamshire Hospital
Asma Lina Fazlanie BMedSci (Hons)
University of Sheffield Medical Student
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