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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
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Calcifying nucleopathy mimicking infectious spondylodiscitis.
Maroua Slouma1, Takwa Aissaoui2, Leila Metoui1
1Tunis El Manar University - Tunisia.
Acta Reumatologica Portuguesa
|June 25, 2020
Summary
Spinal hydroxyapatite deposition disease (HADD) can mimic infections and cause inflammatory back pain. Imaging is key, as calcifications may fully resolve, aiding diagnosis.
Area of Science:
- Orthopedics
- Radiology
- Rheumatology
Background:
- Spinal hydroxyapatite deposition disease (HADD) is a rare condition.
- Clinical presentation can mimic infectious spondylodiscitis, leading to misdiagnosis.
- Acute febrile inflammatory back pain is a key symptom.
Observation:
- A 53-year-old man presented with acute febrile inflammatory back pain.
- MRI revealed spondylodiscitis of the T12-L1 intervertebral disc without abscesses.
- Spine X-ray showed calcifying nucleopathy.
Findings:
- The calcification observed on X-ray completely disappeared during follow-up.
- This case highlights the diagnostic challenge of HADD.
- Imaging features are crucial for accurate diagnosis.
Implications:
- HADD should be considered in patients presenting with acute inflammatory back pain.
- The potential for complete resolution of calcification on imaging is important.
- Accurate diagnosis relies on careful evaluation of imaging findings.
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