Case of Polymyalgia Rheumatica Misdiagnosed as Infectious Spondylitis
Journal of Rheumatic Diseases
;
: 140-143, 2018.
Article
in English
| WPRIM
| ID: wpr-713814
ABSTRACT
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polymyalgia Rheumatica
/
Referral and Consultation
/
Spinal Stenosis
/
Spine
/
Spondylitis
/
Injections, Epidural
/
Bursitis
/
Prednisolone
/
Magnetic Resonance Imaging
/
Low Back Pain
Limits:
Female
/
Humans
Language:
English
Journal:
Journal of Rheumatic Diseases
Year:
2018
Type:
Article
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