Chest Pain? An Unusual Presentation of Vertebral Osteomyelitis

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 osteomyeli...

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Main Authors: Cristian Landa, Stanley Giddings, Pramod Reddy
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2013/416498
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author Cristian Landa
Stanley Giddings
Pramod Reddy
author_facet Cristian Landa
Stanley Giddings
Pramod Reddy
author_sort Cristian Landa
collection DOAJ
description 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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institution Kabale University
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publisher Wiley
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spelling doaj-art-34c5f0a2d78a494982b7e83d7c5a16bc2025-02-03T01:22:10ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/416498416498Chest Pain? An Unusual Presentation of Vertebral OsteomyelitisCristian Landa0Stanley Giddings1Pramod Reddy2Department of Medicine, College of Medicine-Jacksonville, University of Florida, Jacksonville, FL 32209, USADepartment of Medicine, College of Medicine-Jacksonville, University of Florida, Jacksonville, FL 32209, USADepartment of Medicine, College of Medicine-Jacksonville, University of Florida, Jacksonville, FL 32209, USAWe 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.http://dx.doi.org/10.1155/2013/416498
spellingShingle Cristian Landa
Stanley Giddings
Pramod Reddy
Chest Pain? An Unusual Presentation of Vertebral Osteomyelitis
Case Reports in Medicine
title Chest Pain? An Unusual Presentation of Vertebral Osteomyelitis
title_full Chest Pain? An Unusual Presentation of Vertebral Osteomyelitis
title_fullStr Chest Pain? An Unusual Presentation of Vertebral Osteomyelitis
title_full_unstemmed Chest Pain? An Unusual Presentation of Vertebral Osteomyelitis
title_short Chest Pain? An Unusual Presentation of Vertebral Osteomyelitis
title_sort chest pain an unusual presentation of vertebral osteomyelitis
url http://dx.doi.org/10.1155/2013/416498
work_keys_str_mv AT cristianlanda chestpainanunusualpresentationofvertebralosteomyelitis
AT stanleygiddings chestpainanunusualpresentationofvertebralosteomyelitis
AT pramodreddy chestpainanunusualpresentationofvertebralosteomyelitis