scholarly journals Diagnosing Spinal Gout: A Rare Case of Back Pain and Fever

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Andres Cordova Sanchez ◽  
Maneesh Bisen ◽  
Farzam Khokhar ◽  
Adriana May ◽  
Jihad Ben Gabr
Keyword(s):  
Back Pain ◽  
Vertebral Osteomyelitis ◽  
Axial Skeleton ◽  
Definitive Diagnosis ◽  
Pathological Examination ◽  
Imaging Findings ◽  
Monosodium Urate ◽  
High Prevalence ◽  
History Of ◽  
Severe Back Pain

Gout is a common inflammatory arthritis that has a high prevalence worldwide. It is characterized by monosodium urate deposition, usually affecting the joints and soft tissue of the lower extremities. Urate deposition in the axial skeleton resulting in spinal gout is rare. However, it seems to be more prevalent than usually thought, largely because it is underdiagnosed. Imaging findings are, for the most part, nonspecific and often mimic infectious etiologies. Definitive diagnosis requires pathological examination. Thus, it can be easily missed. We present a 41-year-old male with a seven-year history of untreated gout who came in with severe back pain, fevers, and radiculopathy. He was initially diagnosed with vertebral osteomyelitis. However, after a biopsy, spinal gout was confirmed. Spinal gout can be misdiagnosed as vertebral osteomyelitis given the similarities in presentation and imaging findings. This case report highlights the importance of keeping spinal gout as a differential of vertebral osteomyelitis, especially in patients with long-standing or uncontrolled gout with tophi.

scholarly journals Primary splenic hydatidosis: a case report

2019 ◽  
Vol 48 (2) ◽  
pp. 030006051984550
Author(s):  
Qiang Wang ◽  
Ming-quan Pang ◽  
Ying-li Kang ◽  
Zhi-xin Wang ◽  
Dongzhi Cairang ◽  
...  
Keyword(s):  
Case Report ◽  
Laparoscopic Splenectomy ◽  
Serological Test ◽  
Chronic Atrophic Gastritis ◽  
Pathological Examination ◽  
Test Results ◽  
Imaging Findings ◽  
Pastoral Area ◽  
History Of

We herein report a case of primary splenic hydatidosis to provide data regarding the diagnosis, treatment, and epidemiological statistics of this disease. The patient was from a pastoral area and was diagnosed with primary splenic hydatidosis with chronic atrophic gastritis. The patient had no history of surgical treatment of hydatidosis. The diagnosis was mainly based on possible exposure to endemic areas, imaging findings, serological test results, and operative and pathological examination findings. Laparoscopic splenectomy was performed, and regular albendazole therapy was given after the operation. The patient was admitted to the hospital for gastrointestinal bleeding 3 months postoperatively, and she was successfully treated and discharged. No recurrence of hydatid foci has been observed since the follow-up.

scholarly journals Surgical Treatment of Jacob’s Disease: A Case Report Involving an Osteochondroma of the Coronoid Process

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Dale E. Stringer ◽  
Kourt B. Chatelain ◽  
Rahul Tandon
Keyword(s):  
Histological Analysis ◽  
Axial Skeleton ◽  
Definitive Diagnosis ◽  
Coronoid Process ◽  
Benign Tumors ◽  
Rare Entity ◽  
Maxillofacial Region ◽  
Affected Area ◽  
History Of ◽  
Tumors Of Bone

Although it is one of the most common benign tumors of bone in the axial skeleton, the osteochondroma is relatively rare in the maxillofacial region. Its discovery on the coronoid process is even more rare. First described by Jacob in 1899, it remains a rare entity as only a few reported cases have been described in the literature. Nevertheless, the symptomatic features remain relatively nonspecific: limited opening, tightness, and slight expansion of the affected area with or without pain. The demographic features are more established, as it affects younger males. Definitive diagnosis is made after histological analysis, post-resection of the growth. We report a 27 year-old male with a history of limited opening and tightness of the mouth. Computed Tomography (CT) imaging revealed a well corticated exophytic protuberance from the left coronoid process. Left coronoidectomy and excision of the exophytic growth was performed, and was confirmed by histologic analysis to be an osteochondroma, demonstrating Jacob’s disease.

scholarly journals Fetus-in-fetu in an 8-month-old girl

2016 ◽  
Author(s):  
Bei Bei Zhao ◽  
Yu Zuo Bai
Keyword(s):  
Abdominal Mass ◽  
Mature Teratoma ◽  
Abdominal Distension ◽  
Axial Skeleton ◽  
Definitive Diagnosis ◽  
Pathological Examination ◽  
Cranial Cavity ◽  
Fetus In Fetu ◽  
Live Births ◽  
Sacrococcygeal Region

Fetus in fetu (FIF) is a very rare congenital malformation with an incidence of 1/500,000 live births. These children are often hospitalized because of vomiting, abdominal distension or abdominal mass found by their parents. The most common position for the parasitic fetus is the retroperitoneum but other position such as the scrotal sac, cranial cavity, sacrococcygeal region, back , oral cavity has been reported. FIF is often misdiagnosed as a mature teratoma. Ultrasound, CT, MRI are of great significance in distinguishing between FIF and teratoma. The postoperative pathological examination may reveal axial skeleton which can make a definitive diagnosis of FIF. In this report, we present a case of FIF in an 8-month-old girl.

scholarly journals An Unusual Presentation of Lyme Neuroborreliosis

2015 ◽  
Vol 14 (1) ◽  
pp. 32-35
Author(s):  
Laura Kitto ◽  
◽  
Chris McKenna ◽  
Keyword(s):  
Back Pain ◽  
Incidental Finding ◽  
Lyme Neuroborreliosis ◽  
Common Symptom ◽  
Functional Diagnosis ◽  
Acute Medical Unit ◽  
History Of ◽  
Severe Back Pain ◽  
Hospital Acquired Pneumonia ◽  
Hospital Acquired

Back pain is a common symptom among patients presenting to the acute medical unit. We describe the case of a 55-year-old man with a brief history of fatigue and severe back pain, unresponsive to escalating doses of opiate analgesia. Blood tests and imaging studies were unremarkable and a functional diagnosis was considered. Several weeks into his admission he developed a lower motor neurone facial nerve palsy. He was treated with antibiotics for an incidental finding of a hospital-acquired pneumonia on imaging, which remarkably led to the resolution of his facial palsy and allowed a dramatic reduction in analgesia. This triggered further investigations; identifying Lyme neuroborreliosis as the cause of his symptoms.

Images in anesthesiology: three safe, simple, and inexpensive methods to administer the sphenopalatine ganglion block

2020 ◽  
Vol 45 (11) ◽  
pp. 880-882
Author(s):  
Danielle Levin ◽  
Shaul Cohen
Keyword(s):  
Back Pain ◽  
Dural Puncture ◽  
Sphenopalatine Ganglion ◽  
Ganglion Block ◽  
Tension Headaches ◽  
History Of ◽  
Sphenopalatine Ganglion Block ◽  
Severe Back Pain

The sphenopalatine ganglion (SPG) block is a simple and valuable technique that was discovered over a century ago, but, unfortunately, very few anesthesiology providers are familiar with this block. After some of our recent publications, physicians from different countries have reached out to us requesting more specifics on how we perform our version of the block. In this report, we provide a brief history of the block and demonstrate our three effective, simple, readily available, and inexpensive methodologies with images. We are proud to share that our three SPG block techniques have so far effectively relieved patients of chronic migraines, acute migraines, tension headaches, moderate-to-severe back pain, and post-dural puncture headaches.

scholarly journals Predictors for Nonspecific Low Back Pain in Rubber Farmers: A 1-Year Prospective Cohort Study

2018 ◽  
Vol 31 (1) ◽  
pp. 7-17 ◽  
Author(s):  
Chadayu Udom ◽  
Rotsalai Kanlayanaphotporn ◽  
Prawit Janwantanakul
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Confidence Interval ◽  
Hazard Ratio ◽  
Low Back ◽  
Contributing Factors ◽  
Face To Face ◽  
High Prevalence ◽  
History Of ◽  
New Onset

High prevalence of low back pain (LBP) has been reported among farmers. A number of contributing factors have been associated with LBP. However, predictors for LBP in this population are unknown. This longitudinally designed study aimed to identify the predictors of LBP in a sample of rubber farmers whose work involves heavy manual labor. Three hundred and twenty-seven rubber farmers, aged 18 to 70 years who reported no LBP in the previous year, were face-to-face interviewed and examined physically. The incidence of LBP was assessed monthly. The 12-month incidence of LBP in the cohort was 35%. Having a history of LBP (hazard ratio = 1.55, 95% confidence interval = 1.05-2.30) and an active job (hazard ratio = 1.98, 95% confidence interval = 1.16-3.40) were the predictors for the new onset of LBP in this sample. These 2 factors could therefore potentially be targeted to prevent or reduce the incidence of LBP in rubber farmers.

scholarly journals Unusual Case of Osteomyelitis and Discitis in a Drug User with a Background of Chronic Back Pain: Do Not Miss the Serious Etiologies

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Alaa M. Ali ◽  
Moona Khan ◽  
Shawn G. Kwatra ◽  
Aram Barbaryan ◽  
Nasir Hussain ◽  
...  
Keyword(s):  
Back Pain ◽  
Unusual Case ◽  
Chronic Back Pain ◽  
Vertebral Osteomyelitis ◽  
Past Medical History ◽  
Iv Drug Abuse ◽  
Occult Malignancy ◽  
Acute Back Pain ◽  
History Of ◽  
Significant Probability

Chronic back pain is a common presenting complaint that is frequently encountered by clinicians. The challenge for clinicians is identifying the relatively few patients with a significant probability of a more serious problem that requires further evaluation. Such individuals require further evaluation for possible occult malignancy, infection, or fracture. We present a case of a 50-year-old male with a past medical history of chronic back pain and IV drug abuse who presented with acute back pain and in whom a diagnosis of vertebral osteomyelitis was missed during multiple visits to the emergency room.

scholarly journals The correlation between the sagittal lumbopelvic alignments in standing position and the risk factors influencing low back pain

2012 ◽  
Vol 3 (2) ◽  
pp. 11 ◽  
Author(s):  
Pongsthorn Chanplakorn ◽  
Paphon Sa-ngasoongsong ◽  
Siwadol Wongsak ◽  
Patarawan Woratanarat ◽  
Wiwat Wajanavisit ◽  
...  
Keyword(s):  
Risk Factors ◽  
Low Back Pain ◽  
Back Pain ◽  
Body Height ◽  
Standing Position ◽  
Low Back ◽  
High Prevalence ◽  
History Of ◽  
Obese Male

Low back pain (LBP) is the most common health problem. Many factors have been demonstrated to be fundamental risk factors of LBP such as body mass index (BMI), age and sex. However, so far there have been few studies demonstrating the association between lumbo-pelvic alignment (LPA) and these factors. This present study was aimed to clarify the correlation between the LPA and the risk factors contributing to LBP. Standing lateral Xrays were taken from 100 healthy volunteers (70 males and 30 females) with no history of low back pain before their participation. Average age of subjects was 33.3±6.8 years (rang 21-50). Mean body weight was 59.1±7.9kg (range 40-82), mean body height was 163.6±7.2 cm (range 145-178) and mean BMI was 22.1±2.4 kg/m2 (range 18.0-29.3). The LPA was classified into 3 types according to the recently proposed pelvic orientation guidelines. No direct correlation was found between the pelvic orientation and age or BMI. Each LPA type was associated with sex but not BMI and age (P=0.00, 0.71, and 0.36, respectively). The results from this study demonstrated the differences in LPA between male and female, and also confirmed that the sagittal orientation of the pelvis remained constant in adults. The high prevalence of LPA type 1 in males may reduce the occurrence of LBP in obese male individuals.

scholarly journals Arytenoid chondritis in two calves

2020 ◽  
Vol 50 (6) ◽  
Author(s):  
Mariana Oliveira Bonow ◽  
Maira dos Santos Carneiro Lacerda ◽  
Márcio Botelho de Castro ◽  
Pedro Miguel Ocampos Pedroso ◽  
José Renato Junqueira Borges ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Clinical Laboratory ◽  
Treatment Success ◽  
Definitive Diagnosis ◽  
Accurate Diagnosis ◽  
Diagnostic Methods ◽  
Pathological Examination ◽  
Pathological Findings ◽  
History Of ◽  
Common Infections

ABSTRACT: Although, calf diphtheria and necrotic laryngitis are common infections in the oral cavity’s soft tissues, arytenoid chondritis is addressed as a serious but rarely diagnosed complication in cattle. This paper aimed to describe clinical, laboratory, imaging, and pathological findings in two calves with arytenoid chondritis. A 2-month-old Jersey calf and a 3-month-old Girolando calf presented 40-days history of respiratory distress. In the former, oral endoscopy revealed enlarged and immobile arytenoids with major involvement of the left arytenoid, causing severe distortion and partial obstruction of the rima glottidis. In the latter, latero-lateral radiography of the head revealed radiolucent areas and thickening at the level of the larynx to the dorsal trachea. Pathological examination of one calf showed neutrophilic multifocal inflammatory infiltrate and areas of necrosis in the cricoarytenoid cartilage, surrounded by abscessation. Definitive diagnosis of arytenoid chondritis in these two calves was established on the basis of clinical, laboratory, imaging (endoscopy and radiography), and pathological findings. Daily and careful observation of the herds and the use of ancillary diagnostic methods allowed the early diagnosis of the disease, and accurate diagnosis can improve prognosis and increase treatment success rate.

Severe Back Pain and a History of Tuberculosis

2000 ◽  
Vol 35 (4) ◽  
pp. 45-48
Author(s):  
David S. Bromet ◽  
Amy Pope-Harman ◽  
Thomas P. Archer ◽  
Ernest L Mazzaferri
Keyword(s):  
Back Pain ◽  
History Of ◽  
Severe Back Pain
Sign in / Sign up

Export Citation Format

Share Document