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 journalArticle

Abstract

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
Volume7
Issue number1
DOIs
StatePublished - Jan 1 2007
Externally publishedYes

Fingerprint

Discitis
Gout
Spine
Fever
Hyperuricemia
Radiculopathy
Acute Pain
Back Pain
Low Back Pain
Medical Records

Keywords

  • Gout
  • Pyogenic discitis
  • Spine

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

Cite this

Tophaceous gout of the lumbar spine mimicking pyogenic discitis. / Suk, Kyung Soo; Kim, Ki Tack; Lee, Sang Hun; Park, Sung Woo; Park, Yong Koo.

In: Spine Journal, Vol. 7, No. 1, 01.01.2007, p. 94-99.

Research output: Contribution to journalArticle

Suk, Kyung Soo ; Kim, Ki Tack ; Lee, Sang Hun ; Park, Sung Woo ; Park, Yong Koo. / Tophaceous gout of the lumbar spine mimicking pyogenic discitis. In: Spine Journal. 2007 ; Vol. 7, No. 1. pp. 94-99.
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