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5.
Can Med Assoc J ; 130(8): 1025-8, 1984 Apr 15.
Article in English | MEDLINE | ID: mdl-6367920

ABSTRACT

Vertebral osteomyelitis represents a diagnostic challenge to the clinician. Two cases of pyogenic vertebral osteomyelitis occurring weeks to months after a urinary tract infection with Escherichia coli are described. The rarity and subtle clinical presentation of this condition, the presence of pre-existing degenerative arthritic changes, and delayed appearance of radiologic signs of progression to destructive osteomyelitis contributed to a significant delay in diagnosis. Increased awareness of vertebral osteomyelitis as a clinical entity combined with information from radionuclide scanning may permit earlier detection of this condition.


Subject(s)
Osteomyelitis/diagnosis , Technetium Compounds , Thoracic Vertebrae , Anti-Bacterial Agents/therapeutic use , Escherichia coli Infections/complications , Female , Humans , Male , Middle Aged , Osteomyelitis/drug therapy , Osteomyelitis/etiology , Polyphosphates , Radionuclide Imaging , Suppuration , Technetium , Thoracic Vertebrae/diagnostic imaging , Urinary Tract Infections/complications
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