Diagnosing Spinal Gout: A Rare Case of Back Pain and Fever.
Journal
Case reports in rheumatology
ISSN: 2090-6889
Titre abrégé: Case Rep Rheumatol
Pays: United States
ID NLM: 101585353
Informations de publication
Date de publication:
2021
2021
Historique:
received:
07
07
2021
accepted:
11
09
2021
entrez:
11
10
2021
pubmed:
12
10
2021
medline:
12
10
2021
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 34631191
doi: 10.1155/2021/7976420
pmc: PMC8494596
doi:
Types de publication
Case Reports
Langues
eng
Pagination
7976420Informations de copyright
Copyright © 2021 Andres Cordova Sanchez et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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