Yasser M. Ash almost 7 years ago
A 34 years old man came to the ER due to neurogenic defects mainly in the lower limbs, and having severe lower back pain . His history indicated a long term of pain ,tenderness in the back and fever Investigations - >leuckocytosis , elevated inflammatory markers above normal and septicemia . What's your DDx?
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almost 7 years ago
Tuberculous osteomyelitis ,correct. But What made you think of malignancies?
almost 7 years ago
Brucelosis osteomyelitis? Except septesemia all the symptoms come with it.
almost 7 years ago
Transverse myelitis/syringomyelia/meningitis involving spinal cord
Osteomyelitis of spine is the most important one in this case. In my opinion the first step is imagining (MRI)
