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KMID : 0361620060410040756
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Journal of the Korean Orthopaedic Association
2006 Volume.41 No. 4 p.756 ~ p.760
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Gouty Spondyloarthropathy in the Lumbar Spine Mimicking Pyogenic Discitis : A Case Report
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Suk Kyung-Soo
Kim Ki-Tack
Lee Jung-Hee
Lee Sang-Hoon
Park Sung-Woo
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Abstract
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A 55-year-old-male patient had acute lower back pain and radiculopathy with high spiking fever, which indicated pyogenic discitis. Intravenous antibiotics were administered but a high spiking fever and elevated laboratory findings indicated an infection. Therefore, surgery was performed. However, histological diagnosis revealed tophaceous gout. A diagnosis of spinal gout should be considered when there are clinical presentations of acute back pain and fever, especially in patients with acute back pain and a prior history of hyperuricemia or gout.
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KEYWORD
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Spine, Spondyloarthropathy, Gout, Pyogenic discitis
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