Pyogenic spondylitis secondary to renal abscess Nobuyuki Sekita 1 , Kenichi Egoshi 1 1Department of Urology, Chosei Public Hospital, Mobara, Japan Keyword: 化膿性脊椎炎 , 腎膿瘍 pp.161-164
Published Date 2007/2/20
DOI https://doi.org/10.11477/mf.1413101054
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 We report a case of a 74-year-old female patient with pyogenic spondylitis. She was admitted for severe right flank pain and high fever. At first, we selected a conservative therapy consisting of bed rest and antibiotics under the diagnosis of acute pyelonephritis for about one month, followed by right nephrectomy performed for renal abscess. However, for more than a week after the operation, severe back pain and high fever persisted. On the 10th postoperative day, she developed a femoral pain, which helped us diagnose pyogenic spondylitis. Magnetic resonance imaging(MRI) showed an inflammatory region in the L4/5 intervertebral disk. Urologists should be aware of the possibility of pyogenic spondylitis secondary to urinary tract infection.(Rinsho Hinyokika 61:161-164, 2007

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