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Acute pyogenic discitis in a degenerative intervertebral disc in an adult
Author(s) -
Masamitsu Tanaka
Publication year - 2010
Publication title -
international medical case reports journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.198
H-Index - 11
ISSN - 1179-142X
DOI - 10.2147/imcrj.s12731
Subject(s) - medicine , discitis , intervertebral disc , spondylodiscitis , orthopedic surgery , spondylitis , surgery , spondylolisthesis , lumbar , radiology , magnetic resonance imaging , ankylosing spondylitis
A 35-year-old male who had been receiving conservative treatment for L4 isthmic spondylolisthesis suffered from pyogenic spondylodiscitis in the degenerative L4/L5 intervertebral disc space, which could be identified by comparison with previous images. Symptoms improved with conservative antibiotic treatment. Neovascularization may occur in the annulus fibrosus of a degenerative intervertebral disc, which may increase the risk of hematogenous infection, leading to "discitis" even in adults.

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