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Follow-up Imaging for Vertebral Osteomyelitis

Follow-up Imaging for Vertebral Osteomyelitis Opinion LESS IS MORE PERSPECTIVE A Teachable Moment Mr X was unexcited about repeat neck surgery on his show stability or worsening bony changes rather than Adam J. Visconti, MPH 3,4 Currently a medical 55th birthday, especially when, all things considered, he improvement. Furthermore, disk space and verte- student, School of was feeling fine. He came to our hospital for a routine bralbodyenhancementdonotcorrelatewitheitherclini- Medicine, University of follow-up magnetic resonance imaging study. He had ex- cal status or overall treatment success. Although fol- California, San perienced long-standing severe cervical stenosis. After low-upimagingcansometimesshowusefulinformation, Francisco. a curative laminectomy 5 months ago, he developed cer- such as unresolved epidural abscess or worsening soft- Joshua Biddle, BA vical osteomyelitis with a prevertebral abscess. The fol- tissue inflammation indicative of treatment failure, Currently a medical low-up magnetic resonance imaging study had been or- some suggest that risk-stratifying patients clinically by student, School of dered to determine whether the abscess had resolved pain, fever, focal neurologic signs, and inflammatory Medicine, University of after 6 weeks of targeted antibiotic therapy. He was feel- markers (erythrocyte sedimentation rate and C- California, San Francisco. ing well and so was particularly nonplussed when he was reactive protein level) is a http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Follow-up Imaging for Vertebral Osteomyelitis

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Follow-up Imaging for Vertebral Osteomyelitis

Abstract

Opinion LESS IS MORE PERSPECTIVE A Teachable Moment Mr X was unexcited about repeat neck surgery on his show stability or worsening bony changes rather than Adam J. Visconti, MPH 3,4 Currently a medical 55th birthday, especially when, all things considered, he improvement. Furthermore, disk space and verte- student, School of was feeling fine. He came to our hospital for a routine bralbodyenhancementdonotcorrelatewitheitherclini- Medicine, University of follow-up magnetic resonance imaging...
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References (6)

Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2013.12742
pmid
24296826
Publisher site
See Article on Publisher Site

Abstract

Opinion LESS IS MORE PERSPECTIVE A Teachable Moment Mr X was unexcited about repeat neck surgery on his show stability or worsening bony changes rather than Adam J. Visconti, MPH 3,4 Currently a medical 55th birthday, especially when, all things considered, he improvement. Furthermore, disk space and verte- student, School of was feeling fine. He came to our hospital for a routine bralbodyenhancementdonotcorrelatewitheitherclini- Medicine, University of follow-up magnetic resonance imaging study. He had ex- cal status or overall treatment success. Although fol- California, San perienced long-standing severe cervical stenosis. After low-upimagingcansometimesshowusefulinformation, Francisco. a curative laminectomy 5 months ago, he developed cer- such as unresolved epidural abscess or worsening soft- Joshua Biddle, BA vical osteomyelitis with a prevertebral abscess. The fol- tissue inflammation indicative of treatment failure, Currently a medical low-up magnetic resonance imaging study had been or- some suggest that risk-stratifying patients clinically by student, School of dered to determine whether the abscess had resolved pain, fever, focal neurologic signs, and inflammatory Medicine, University of after 6 weeks of targeted antibiotic therapy. He was feel- markers (erythrocyte sedimentation rate and C- California, San Francisco. ing well and so was particularly nonplussed when he was reactive protein level) is a

Journal

JAMA Internal Medicine – American Medical Association

Published: Feb 1, 2014

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