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PET-CT confirms the diagnosis of pyogenic spondylodiscitis complicated by psoas abscess

PET-CT confirms the diagnosis of pyogenic spondylodiscitis complicated by psoas abscess

Bmj Case Reports 2013: -

The authors report a case of a 64-year-old woman with a history of diabetes mellitus (DM) and haemodialysis dependent end-stage renal disease admitted to the intensive care unit for hypoglycaemia, hyperkalaemia, elevated white blood cell count and elevated inflammatory markers. During the course of her hospitalisation, she complained of persistent low back pain. Although gadolinium contrast agents are generally contraindicated in these patients due to significant risk of nephrogenic systemic fibrosis, lumbar spine MRI with gadopentetate dimeglumine contrast was felt to be absolutely necessary, given the need to confirm spondylodiscitis in order to guide treatment. We adhered to strict departmental protocol with written consent and haemodialysis within hours after the examination. showed enhancement of the right L5 pedicle and moderate degenerative disc disease. The findings of right pedicle enhancement were interpreted as non-specific, representing infection or neoplasm. Several days later, an F-18 fluorodeoxyglucose positron emission tomography-computerised.

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Accession: 036738588

Download citation: RISBibTeXText

PMID: 23349183

DOI: 10.1136/bcr-2012-008264

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