Case of Polymyalgia Rheumatica Misdiagnosed as Infectious Spondylitis
- Title
- Case of Polymyalgia Rheumatica Misdiagnosed as Infectious Spondylitis
- Author
- 조수경
- Keywords
- Polymyalgia rheumatica; Back pain; Arthralgia; Positron emission tomography computed tomography
- Issue Date
- 2018-04
- Publisher
- 대한류마티스학회
- Citation
- 대한류마티스학회지, v. 25, no. 2, page. 140-143
- 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.
- URI
- https://synapse.koreamed.org/DOIx.php?id=10.4078/jrd.2018.25.2.140https://repository.hanyang.ac.kr/handle/20.500.11754/118466
- ISSN
- 2093-940X; 2233-4718
- DOI
- 10.4078/jrd.2018.25.2.140
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
- Files in This Item:
- Case of Polymyalgia Rheumatica Misdiagnosed as Infectious Spondylitis.pdfDownload
- Export
- RIS (EndNote)
- XLS (Excel)
- XML