Tuberculous Spondylitis and Salmonella Mycotic Aneurysm in an Immunocompromised Patient

by Shih-Hao Chen, To Wong, Fang-Ying Kuo, and Chen-Hsiang Lee

JBJS Case ConnectVolume os-88(10):2275-2278

October 1, 2006

©2006 by The Journal of Bone and Joint Surgery, Inc.

Lateral radiograph of the lumbar spine, showing multiple traction spurs along the anterior edges of the vertebrae and decreased disc height at L3-L4 without overt evidence of osseous

destruction.

Shih-Hao Chen et al. J Bone Joint Surg Am 2006;os-88:2275-2278

©2006 by The Journal of Bone and Joint Surgery, Inc.

A computed tomography scan of the abdomen, showing abscesses of the psoas muscles bilaterally (asterisks) and an infrarenal mycotic aortic aneurysm (arrow) with an irregular margin

at the anterior cortex of the L4 vertebrae (arrowhead).

Shih-Hao Chen et al. J Bone Joint Surg Am 2006;os-88:2275-2278

©2006 by The Journal of Bone and Joint Surgery, Inc.

Sagittal T2-weighted magnetic resonance image showing an abnormal signal change over the L3 and L4 vertebral bodies and abscess formation in the L3-L4 intervertebral disc space (asterisk)

and the paravertebral space (arrowhead).

Shih-Hao Chen et al. J Bone Joint Surg Am 2006;os-88:2275-2278

©2006 by The Journal of Bone and Joint Surgery, Inc.

Sagittal T2-weighted magnetic resonance image showing interspace narrowing of the L3 and L4 vertebral bodies with end-plate destruction, collapse of the vertebral body, and an epidural

abscess (asterisk) at L2-L4 with spinal canal compression.

Shih-Hao Chen et al. J Bone Joint Surg Am 2006;os-88:2275-2278

©2006 by The Journal of Bone and Joint Surgery, Inc.