In the patient with cervical diskitis (patient 2), histopathologic examination of the disk tissue revealed acute on chronic inflammation with caseation, granulomatous tissue, and microabscesses compatible with tuberculosis.
In addition, the patient with cervical diskitis secondary to tuberculosis and A flavus (patient 2) was treated with 9 months of combination isoniazid/pyrazinamide/ethambutol and 6 months of itraconazole (table 4).
Our patient presented with a unique combination of spinal osteomyelitis with diskitis
, epidural and bilateral psoas abscesses due to MAC infection a combination not previously described in the setting of IRS.
of Infection treated treatment courses Wound infections 331 Skin and soft tissue infections 273 Acute osteomyelitis 165 Septic arthritis/bursitis 153 Bacteremia 100 Chronic osteomyelitis 94 Prosthetic joint infections 52 Endocarditis 30 Diskitis
30 Intravenous catheter infections 24 Table 3.
MRI study of the thoracic spine showed T9-T10 diskitis with vertebral osteomyelitis and paraspinous and epidural phlegmon, but no spinal cord compression.
She rapidly developed paraplegia and the MRI showed T8-T9 diskitis and osteomyelitis of both vertebrae, and an epidural abscess with spinal cord compression.
The ESR was mildly elevated, but there was no evidence of diskitis
An abnormal hyperintensity at L2-3 on T2 images was thought to be due to an infective diskitis
Magnetic resonance imaging of the spine was consistent with diskitis
and osteomyelitis at L3-L4, without evidence of compression or abscess.
Another patient had diskitis
and osteomyelitis due to methicillin-sensitive Staphylococcus aureus after diskography at C3-4 through C6-7.