A series of focal spinal pain patients presented in the clinic, all belonging to a poor health background. Orthopedic experts striving to explain the cause, demanded examinations beyond their routines.
The findings were astonishing and had led to high mortality in patients! Standard Examinations: Standard diagnostic triad including focal spine pain, neurologic deficit, and fever, were present but, failed to explain the origin of spinal pain in a series of patients Advanced Examinations- Biopsy, intraoperative tissue, and blood culture: Pain foci- Thoracic spine, anterior to the thecal sac Fungemia Symptoms persistent over 2 weeks of duration Immunosuppression Vertebral osteomyelitis Occasionally, the residual motor deficit was noted A poor baseline health status High probability of morbidity or mortality Treatment: Detail pathological examination post-surgery and other persistent…
