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KMID : 1103720090600010041
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Journal of the Korean Society of Radiology
2009 Volume.60 No. 1 p.41 ~ p.45
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Lumbar Actinomycosis: A Case Report
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Lee Min-Hee
Cha Jang-Gyu
Choo Eun-Ju
Chung Kyung-Chun
Park Jai-Soung
Park Seong-Il
Paik Sang-Hyun
Lee Hae-Kyung
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Abstract
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Spinal actinomycosis is a rare infection that usually develops from contagious spreading of the causative organism. Diagnosing this malady may be delayed due to the nonspecific radiological findings and the slow progression of the disease. We present here the case of a 51-year-old male with slowly progressing lower back pain and fever. Computed tomography (CT) and magnetic resonance (MR) imaging revealed a paraspinal mass and cortical destructive change in the L1 vertebra, but the disk space was spared. A surgical biopsy confirmed spinal actinomycosis. We describe the CT and MR imaging findings of this patient and we also review the related literature to highlight this uncommon disease entity.
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KEYWORD
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Actinomycosis, Tomography, X-ray computed, Magnetic resonance (MR), Spine, Infection
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