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A strange case of cervical pain

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DOI: 10.4236/health.2012.45047    3,318 Downloads   5,237 Views  

ABSTRACT

A 56-year-old man was admitted to hospital with fever, progressive fatigue, bilateral shoulder pain, paresthesias and stiffness after awakening. Differential diagnosis were several diseases such as rheumatoid arthritis, fibromyalgia and infectious spondylitis. Routine laboratory assays showed mild anemia and increased markers of inflammation. The worsening of clinical conditions led to performing a Computerized Tomography and a Cervical Magnetic Resonance Imaging which demonstrated an epidural liquid area in both left and anterior section of the spinal canal. Due to the high suspicious of tuberculosis we started a therapy with isoniazid, rifampicin, pyrazinamide and cyprofloxacin, even if the results of culture was negative for any kind of bacteria. This case-report underlines the difficulties of a correct diagnosis in a common symptom as back pain is.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Montomoli, J. , Lazzarini, D. , Morolli, L. and Ioli, G. (2012) A strange case of cervical pain. Health, 4, 285-287. doi: 10.4236/health.2012.45047.

References

[1] Rudwaleit, M., Metter, A., Listing, J., Sieper, J. and Braun, J. (2006) Inflammatory back pain in ankylosing spondylitis: A reassessment of the clinical history for application as classification and diagnostic criteria. Arthritis & Rheumatism, 54, 569-578. doi:10.1002/art.21619
[2] Calin, A., Porta, J., Fries, J.F. and Schurman, D.J. (1997) Clinical history as a screening test for ankylosing spondylitis, The Journal of the American Medical Association, 237, 2613-2614. doi:10.1001/jama.1977.03270510035017
[3] Barnes, P.F. and Barrows, S.A. (1993) Tuberculosis in the 1990s. Annals of Internal Medicine, 119, 400-410.
[4] Colmenero, J.D., Jimenez-Mejias, M.E., Reguera, J.M., et al. (2004) Tuberculous vertebral osteomyelitis in the new millennium: Still a diagnostic and therapeutic challenge. European Journal of Clinical Microbiology & Infectious Disease, 23, 477-483. doi:10.1007/s10096-004-1148-y
[5] Cantini, F., Salvarani, C., Olivieri, I., et al. (1998) Tuberculous spondylitis as a cause of inflammatory spinal pain: A report of 4 cases. Clinical and Experimental Rheumatology, 16, 305-308.
[6] Wierzba-Bobrowicz, T,. et al. (2010) Case report. Cervical spinal tuberculosis. Folia Neuropathologica, 48, 300-304.
[7] Ceccato, F., et al. (2011) Conditions mimicking polymyalgia rheumatica. Reumatologia Clinica, 7, 156-160
[8] Ostelo, R.W., et al. (2008) Interpreting change scores for pain and functional status in low back pain: Towards international consensus regarding minimal important change. Spine, 33, 90-94.
[9] Amin, I., et al. (2011) PCR could be a method of choice for identification of both pulmonary and extra-pulmonary tuberculosis. BMC Research Notes, 4, 332

  
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