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Chest pain? An unusual presentation of vertebral osteomyelitis
Cristian Landa1, Stanley Giddings, Pramod Reddy
1Department of Medicine, College of Medicine-Jacksonville, University of Florida, Jacksonville, FL 32209, USA.
Abstract:
We present a case of vertebral osteomyelitis presenting as chest pain. The patient initially underwent a CT chest angiogram to rule out a pulmonary embolism, which incidentally showed a soft tissue vertebral mass at T3-T4 disk space. Subsequent thoracic vertebral MRI was consistent with osteomyelitis with cord compression. Tissue culture from a CT-guided biopsy grew MRSA. The patient was successfully treated with Vancomycin. This is a rare presentation of vertebral osteomyelitis which poses an interesting diagnostic challenge.
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