Tophaceous gout of the lumbar spine mimicking pyogenic discitis

被引：38

作者：

Suk, Kyung-Soo ^{[1
]}

Kim, Ki-Tack ^{[1
]}

Lee, Sang-Hun ^{[1
]}

Park, Sung-Woo ^{[1
]}

Park, Yong-Koo ^{[2
]}

机构：

[1] Kyung Hee Univ, Sch Med, Dept Orthopaed Surg, Seoul 130702, South Korea

[2] Kyung Hee Univ, Sch Med, Dept Pathol, Seoul 130702, South Korea

来源：

SPINE JOURNAL | 2007年 / 7卷 / 01期

关键词：

Gout; Pyogenic discitis; Spine;

D O I：

10.1016/j.spinee.2006.01.009

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BACKGROUND CONTEXT: Gout of the spine is very rare. Forty-one cases of gout affecting the spine have been reported. PURPOSE: To present a patient with tophaceous gout of the lumbar spine mimicking pyogenic discitis. STUDY DESIGN: Case report. METHODS: The medical record, including operative notes, progress notes, discharge summary, clinical notes, radiological study, and pathological studies was reviewed. RESULTS: The patient had acute low back pain and radiculopathy with high spiking fever. Therefore, pyogenic discitis was suspected. However, histological diagnosis revealed tophaceous gout. CONCLUSIONS: Tophaceous gout of the spine is very rare. However, when a patient presents with acute back pain and fever, spinal gout should be considered, particularly in a patient with a previous history of hyperuricemia or gout. (C) 2007 Elsevier Inc. All rights reserved.

引用

页码：94 / 99

页数：6

共 8 条

[1]

Tophaceous coot of the spine mimicking epidural infection: Case report and review of the literature [J].

Barrett, K ;

Miller, ML ;

Wilson, JT .

NEUROSURGERY, 2001, 48 (05) :1170-1172

[2]

Bonaldi VM, 1996, AM J NEURORADIOL, V17, P1949

[3]

Diaz A, 2003, NEUROCHIRURGIE, V49, P600

[4]

GOUT OF THE SPINE - 2 CASE-REPORTS AND A REVIEW OF THE LITERATURE [J].

FENTON, P ;

YOUNG, S ;

PRUTIS, K .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1995, 77A (05) :767-771

[5]

SPONDYLODISCAL EROSIONS DUE TO GOUT - ANATOMICO-RADIOLOGICAL STUDY OF A CASE [J].

LAGIER, R ;

MACGEE, W .

ANNALS OF THE RHEUMATIC DISEASES, 1983, 42 (03) :350-353

[6]

Souza AWS, 2002, CLIN EXP RHEUMATOL, V20, P228

[7]

Cervical myelopathy due to gouty tophi in the intervertebral disc space [J].

Yen, HL ;

Cheng, CH ;

Lin, JW .

ACTA NEUROCHIRURGICA, 2002, 144 (02) :205-207

[8]

Tophaceous gout of the lumbar spine mimicking infectious spondylodiscitis and epidural abscess: MR imaging findings [J].

Yen, PS ;

Lin, JF ;

Chen, SY ;

Lin, SZ .

JOURNAL OF CLINICAL NEUROSCIENCE, 2005, 12 (01) :44-46

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