Acute Symptomatic Calcific Discitis Mimicking a Septic Spondylodiscitis

Acute symptomatic calcific discitis is a poorly understood condition that has been mostly reported in children. Cases in adults have been scarcely reported and may mimic an infectious process. Imaging, including computed tomography, can show the disc calcification but might fail to show it because i...

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Main Authors: Magda Choueiri, Florent Eymard, Sandra Guignard, Frédéric Pigneur, Xavier Chevalier
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2020/5454197
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author Magda Choueiri
Florent Eymard
Sandra Guignard
Frédéric Pigneur
Xavier Chevalier
author_facet Magda Choueiri
Florent Eymard
Sandra Guignard
Frédéric Pigneur
Xavier Chevalier
author_sort Magda Choueiri
collection DOAJ
description Acute symptomatic calcific discitis is a poorly understood condition that has been mostly reported in children. Cases in adults have been scarcely reported and may mimic an infectious process. Imaging, including computed tomography, can show the disc calcification but might fail to show it because its resorption can occur early after the onset of symptoms. We report the case of an adult patient presenting with severe cervical-dorsal junction pain, fever, high C-reactive protein (CRP) levels, and imaging findings mimicking an infectious spondylodiscitis, including an erosion of the anterior part of the vertebral endplate. However, the patient improved spontaneously and rapidly, with pain and fever disappearing and C-reactive protein (CRP) returning to normal within a week.
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spelling doaj-art-6f7f2a6439b64896a52396efabe3119d2025-02-03T01:25:19ZengWileyCase Reports in Rheumatology2090-68892090-68972020-01-01202010.1155/2020/54541975454197Acute Symptomatic Calcific Discitis Mimicking a Septic SpondylodiscitisMagda Choueiri0Florent Eymard1Sandra Guignard2Frédéric Pigneur3Xavier Chevalier4Department of Rheumatology, Henri Mondor University Hospital, Paris XII University-UPEC, Créteil, FranceDepartment of Rheumatology, Henri Mondor University Hospital, Paris XII University-UPEC, Créteil, FranceDepartment of Rheumatology, Henri Mondor University Hospital, Paris XII University-UPEC, Créteil, FranceDepartment of Radiology, Henri Mondor University Hospital, Paris XII University-UPEC, Créteil, FranceDepartment of Rheumatology, Henri Mondor University Hospital, Paris XII University-UPEC, Créteil, FranceAcute symptomatic calcific discitis is a poorly understood condition that has been mostly reported in children. Cases in adults have been scarcely reported and may mimic an infectious process. Imaging, including computed tomography, can show the disc calcification but might fail to show it because its resorption can occur early after the onset of symptoms. We report the case of an adult patient presenting with severe cervical-dorsal junction pain, fever, high C-reactive protein (CRP) levels, and imaging findings mimicking an infectious spondylodiscitis, including an erosion of the anterior part of the vertebral endplate. However, the patient improved spontaneously and rapidly, with pain and fever disappearing and C-reactive protein (CRP) returning to normal within a week.http://dx.doi.org/10.1155/2020/5454197
spellingShingle Magda Choueiri
Florent Eymard
Sandra Guignard
Frédéric Pigneur
Xavier Chevalier
Acute Symptomatic Calcific Discitis Mimicking a Septic Spondylodiscitis
Case Reports in Rheumatology
title Acute Symptomatic Calcific Discitis Mimicking a Septic Spondylodiscitis
title_full Acute Symptomatic Calcific Discitis Mimicking a Septic Spondylodiscitis
title_fullStr Acute Symptomatic Calcific Discitis Mimicking a Septic Spondylodiscitis
title_full_unstemmed Acute Symptomatic Calcific Discitis Mimicking a Septic Spondylodiscitis
title_short Acute Symptomatic Calcific Discitis Mimicking a Septic Spondylodiscitis
title_sort acute symptomatic calcific discitis mimicking a septic spondylodiscitis
url http://dx.doi.org/10.1155/2020/5454197
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