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Previous Volume 334:784-789 March 21, 1996 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 21-year-old woman was admitted to the hospital because of thoracolumbar pain.

The patient had been well until 17 weeks earlier, when she began to have pain in the midline thoracolumbar region of the spine, with radiation to the right flank, accompanied by nocturnal fever. The pain was aggravated by coughing, sneezing, straining, and recumbency and was not relieved by acetaminophen.

Fourteen weeks before admission she came to this hospital. Her temperature was 38°C. The physical examination was normal except for tenderness in the right costovertebral angle and a narrow introitus that prevented a digital examination. The urine was normal, . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Henry J. Mankin's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References

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