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A 44 year-old man developed fever and low back pain associated with fever. Several days later, he developed numbness and weakness of both legs. Point tenderness was present over the mid-lumbar spine.
Sagittal MRI of the Lumbar Spine (Left - T1-weighted image; Right - T1-weighted image with Gadolinium). Note the destructive process at the L2-L3 interspace, that enhances and spreads into the adjacent thecal sac. This is a case of discitis and adjacent osteomyelitis with subsequent inflammation and compression of the cauda equina.
Revised
05/19/06.
The Electronic Curriculum is copyrighted 1998, Case Western Reserve University
School of Medicine.