A Case of Carcinoma Metastasis of Unknown Primary Mimicking Spondylodiscitis in an HIV+ Patient.

Autor:	Erol A; Department of Neurosurgery, Ege University Faculty of Medicine, Izmir, TUR., Saidazimov K; Department of Neurosurgery, Ege University Faculty of Medicine, Izmir, TUR., Bölük MS; Department of Neurosurgery, Ege University Faculty of Medicine, Izmir, TUR., Yurtseven T; Department of Neurosurgery, Ege University Faculty of Medicine, Izmir, TUR., Biçeroğlu H; Department of Neurosurgery, Ege University Faculty of Medicine, Izmir, TUR.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Aug 20; Vol. 16 (8), pp. e67320. Date of Electronic Publication: 2024 Aug 20 (Print Publication: 2024).
DOI:	10.7759/cureus.67320
Abstrakt:	In this case report, a case of carcinoma metastasis of unknown primary mimicking spondylodiscitis in a patient with acquired immunodeficiency syndrome (AIDS) is presented. A 50-year-old AIDS patient presented with a history of mechanical falls from his own level one month ago and leg weakness for the last three days. Spinal magnetic resonance imaging (MRI) revealed a compression fracture of the T4 vertebral body, spinal cord compression, and pathology compatible with spondylodiscitis. Posterior decompression and fusion were performed, and the patient benefited. The preoperative ASIA score was C, and the postoperative ASIA score was D. The sample taken from the lesion for pathology showed carcinoma metastasis. Tumor markers and whole-body computed tomography (CT) and MRI results did not support primary malignancy. Positron emission tomography was planned for further evaluation but could not be performed due to the poor general condition of the patient. During follow-up, the patient died of sepsis due to an intensive care unit infection. As new cases of carcinoma metastasis mimicking spondylodiscitis in AIDS patients are added to the literature, we will have more information about the diagnosis and treatment process. Competing Interests: Human subjects: All authors have confirmed that this study did not involve human participants or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Erol et al.)
Databáze:	MEDLINE
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