A case of pyogenic spondylitis mimicking spine invasion of lung cancer

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  • 肺癌脊椎浸潤と鑑別を要した化膿性脊椎炎の1例

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Abstract

<p>A 69-year-old man who had been treated with a steroid and immunosuppressive agents for polymyalgia rheumatic was admitted to our hospital complaining of back pain. Chest CT showed osteolytic vertebral bodies of the thoracic spine adjacent to a mass shadow in the right lung S2. Spine invasion of lung cancer and pyogenic spondylitis were differential diagnoses. Open surgical biopsy for diagnosis was performed. Intra-operative findings suggested pyogenic spondylitis. We performed partial lung resection, curettage, and debridement of infected thoracic vertebral bodies and intervertebral disk and anterior fusion using autologous right 6th rib bone transplantation. Staphylococcus aureus was cultured from intraoperative tissue samples. A favorable outcome was achieved by antibiotics therapy and posterior thoracic vertebrae fusion. Open surgical biopsy and debridement were useful for diagnostic treatment of pyogenic spondylitis mimicking spine invasion of lung cancer.</p>

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