Abstract
A repeat MRI showed a reduced L3/4 #intervertebraldisc space
with protrusion of the disc suggestive of discitis with an adjacent
vertebral body abscess (Figure 1). Blood investigations did reveal
normal ESR and CRP with CT guided biopsy at L3/4 not revealing
any #polymorphs or organisms on culture. No acid fast bacilli
were grown on #Mycobacterialculture. Her back and left leg pain
continued. She underwent open biopsy, #bonegrafting and fusion of
L3-L4 with pedicle system. Intra-operatively there was no evidence
of infection with histology showing a ganglion cyst. After surgery,
her back pain eased with medication; however her anterior thigh
and knee pain increased considerably and was persisting 6 months’
post operatively. A post-operative MRI of the #spine and knee was
unremarkable with no abnormalities on blood investigations.
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