요척주관 협착증과 압박 골절로 오인된 척추 추간판염 2예−증례보고− (Spondylodiscitis Misdiagnosed as Spinal Stenosis and Compression Fracture−A report of two cases−)

서지정보

· 발행기관 : 대한통증학회
· 수록지 정보 : The Korean Journal of Pain / 22권 / 2호 / 176 ~ 180페이지
· 저자명 : 홍지희, 김세영, 한성호

초록

Cases of pyogenic spondylodiscitis are relatively rare diseases that concern 2−7% of total cases of osteomyelitis. Owing to the low frequency and initial nonspecific nature of signs and symptoms, diagnosis is often delayed up to 2−6 months. If the proper treatment is not established due to a diagnostic delay, there is a possibility of a serious neurologic deficit and spinal instability. We report two cases of infectious spondylodiscitis which were misdiagnosed as compression fracture and spinal stenosis respectively. They could be correctly diagnosed after MRI and laboratory test and under the recovery state after an antifungal and antibiotic medication. Special careful attention during the diagnostic procedure is a really important step considering the diagnostic delay and its resultant unsatisfactory outcome.

영어초록

Cases of pyogenic spondylodiscitis are relatively rare diseases that concern 2−7% of total cases of osteomyelitis. Owing to the low frequency and initial nonspecific nature of signs and symptoms, diagnosis is often delayed up to 2−6 months. If the proper treatment is not established due to a diagnostic delay, there is a possibility of a serious neurologic deficit and spinal instability. We report two cases of infectious spondylodiscitis which were misdiagnosed as compression fracture and spinal stenosis respectively. They could be correctly diagnosed after MRI and laboratory test and under the recovery state after an antifungal and antibiotic medication. Special careful attention during the diagnostic procedure is a really important step considering the diagnostic delay and its resultant unsatisfactory outcome.

참고자료

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