TY - JOUR
T1 - Spinal gout mimicking paraspinal abscess
T2 - A case report
AU - Kteleh, Tarek
AU - Udayakumar, Deepak
AU - Alfata, Sarab
AU - Bali, Taha
AU - Joseph, Amy
N1 - Copyright:
Copyright 2010 Elsevier B.V., All rights reserved.
PY - 2010
Y1 - 2010
N2 - Gout is usually thought of as a peripheral joint disease. However, case reports are available describing gouty lesions in the spine. We report a case of a 51 year old African American woman with no previous history of gout who presented with lower back pain and fever and was found to have multiple small fluid collections in the paraspinal muscles at the L3 to L5 levels on the MRI. She was empirically treated with antibiotics, since the fluid was not accessible for drainage initially. Unsuccessful antibiotic therapy and an episode of peripheral gout during this hospitalization prompted the diagnosis of axial gout as the cause for the paraspinal lesions in this patient. CT guided aspiration of the paraspinal lesions confirmed monosodium urate (gout) crystals under polarized microscopy.
AB - Gout is usually thought of as a peripheral joint disease. However, case reports are available describing gouty lesions in the spine. We report a case of a 51 year old African American woman with no previous history of gout who presented with lower back pain and fever and was found to have multiple small fluid collections in the paraspinal muscles at the L3 to L5 levels on the MRI. She was empirically treated with antibiotics, since the fluid was not accessible for drainage initially. Unsuccessful antibiotic therapy and an episode of peripheral gout during this hospitalization prompted the diagnosis of axial gout as the cause for the paraspinal lesions in this patient. CT guided aspiration of the paraspinal lesions confirmed monosodium urate (gout) crystals under polarized microscopy.
UR - http://www.scopus.com/inward/record.url?scp=77954056393&partnerID=8YFLogxK
U2 - 10.3941/jrcr.v4i6.332
DO - 10.3941/jrcr.v4i6.332
M3 - Article
C2 - 22470736
AN - SCOPUS:77954056393
VL - 4
SP - 15
EP - 20
JO - Journal of Radiology Case Reports
JF - Journal of Radiology Case Reports
SN - 1943-0922
IS - 6
ER -