Abstract:
Vertebral osteomyelitis is a well-documented disease entity in literature with various known etiologies. However, vertebral diskitis-osteomyelitis secondary to an infected aortic aneurysm is an uncommon and life-threatening complication. We present the case of a 65-year-old male patient who presented with chronic low back pain that acutely worsened for 1 to 1.5 months and was diagnosed with vertebral diskitis-osteomyelitis secondary to a contiguous infection from an adjacent mycotic aortic aneurysm. To our knowledge, this is one of the few cases reported of vertebral diskitis-osteomyelitis secondary to mycotic aortic aneurysm. We discuss the findings on CT and MRI, as well as the value of imaging in guiding management.
摘要:
椎体骨髓炎是文献中记录良好的疾病实体,具有各种已知的病因。然而,椎骨炎-感染性主动脉瘤继发骨髓炎是一种罕见且危及生命的并发症。我们介绍了一名65岁的男性患者的病例,该患者患有慢性下腰痛,严重恶化了1至1.5个月,并被诊断为继发于相邻的霉菌性主动脉瘤的连续感染的脊椎椎间盘炎-骨髓炎。据我们所知,这是少数报道的继发于真菌性主动脉瘤的椎骨炎-骨髓炎病例之一。我们讨论CT和MRI的发现,以及影像学在指导管理中的价值。