Tophaceous gout of the lumbar spine mimicking pyogenic discitis

Kyung Soo Suk, Ki Tack Kim, Sang Hun Lee, Sung Woo Park, Yong Koo Park

Research output: Contribution to journalArticlepeer-review


Background context: Gout of the spine is very rare. Forty-one cases of gout affecting the spine have been reported. Purpose: To present a patient with tophaceous gout of the lumbar spine mimicking pyogenic discitis. Study design: Case report. Methods: The medical record, including operative notes, progress notes, discharge summary, clinical notes, radiological study, and pathological studies was reviewed. Results: The patient had acute low back pain and radiculopathy with high spiking fever. Therefore, pyogenic discitis was suspected. However, histological diagnosis revealed tophaceous gout. Conclusions: Tophaceous gout of the spine is very rare. However, when a patient presents with acute back pain and fever, spinal gout should be considered, particularly in a patient with a previous history of hyperuricemia or gout.

Original languageEnglish (US)
Pages (from-to)94-99
Number of pages6
JournalSpine Journal
Issue number1
StatePublished - Jan 2007
Externally publishedYes


  • Gout
  • Pyogenic discitis
  • Spine

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology


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