Case of Polymyalgia Rheumatica Misdiagnosed as Infectious Spondylitis
| Autor: | Kee Eon Yoo, Jae-Bum Jun, Yoon-Kyoung Sung, Soo-Kyung Cho, Seoung Wan Nam, Hyuk Hee Kwon, Seunghun Lee |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
030203 arthritis & rheumatology 0301 basic medicine medicine.medical_specialty Bursitis business.industry Spinal stenosis medicine.disease Low back pain Surgery Polymyalgia rheumatica 03 medical and health sciences 030104 developmental biology 0302 clinical medicine Rheumatology Prednisolone medicine Back pain Chills medicine.symptom business Spondylitis medicine.drug |
| Zdroj: | Journal of Rheumatic Diseases. 25:140 |
| ISSN: | 2233-4718 2093-940X |
| DOI: | 10.4078/jrd.2018.25.2.140 |
| Popis: | A 60-year-old woman visited the authors’ clinic with low back pain and arthralgia. Her symptoms had occurred 6 months previously, and she was treated with an epidural injection and a balloon dilatation procedure based on the assumption of spinal stenosis, but both treatments were ineffective. Her low back pain was aggravated, accompanied by fever and chills over a period of 4 months. As a result, she visited another referral hospital and was diagnosed with infective spondylitis associated with the invasive procedure. Her symptoms improved with antibiotics, but they recurred. When she visited our clinic, she still had continuous low back pain and febrile senses. Magnetic resonance imaging of her lumbar spine revealed interspinous bursitis, and 18 F-fluorodeoxyglucose positron emission tomography showed multifocal synovial inflammation. She was diagnosed with polymyalgia rheumatica and treatment was started on prednisolone and celecoxib. Her symptoms improved dramatically and the inflammatory markers normalized. (J Rheum Dis 2018;25:140-143) |
| Databáze: | OpenAIRE |
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