Kawamura Norihiko, Okumi Masayoshi, Hirai Toshiaki, Nakayama Jiro, Imamura Ryoichi, Siba Masahiro, Momohara Sanehiro, Takayama Hitoshi, Nonomura Norio, Okuyama Akihiko
The Department of Urology, Osaka University Graduate School of Medicine, Japan.
Hinyokika Kiyo. 2010 Nov;56(11):635-7.
A 75-year-old man was admitted to our hospital with a complaint of fever and backpain. He was diagnosed with acute pyelonephritis, and was administered an antibiotic. However, since there was no improvement in the symptoms, he was admitted to our hospital. Computed tomography revealed a tumor which was in contact with a thoracic vertebra. Because he had had a total cystectomy for bladder cancer in the past, we suspected a spinal metastasis of urothelial carcinoma. However, after magnetic resonance imaging, we finally diagnosed it as pyogenic spondylodiscitis, and his condition improved after administration of antibiotics.
一名75岁男性因发热和背痛主诉入院。他被诊断为急性肾盂肾炎，并接受了抗生素治疗。然而，由于症状没有改善，他被收治入我院。计算机断层扫描显示一个与胸椎接触的肿瘤。因为他过去曾因膀胱癌接受过膀胱全切术，我们怀疑是尿路上皮癌的脊柱转移。然而，经过磁共振成像检查后，我们最终诊断为化脓性脊椎间盘炎，给予抗生素治疗后他的病情有所改善。
