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A correction has been published: N Engl J Med 1996;335(19):1471.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 335:115-122 July 11, 1996 Number 2
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Case 21-1996— A 52-Year-Old Man with Back Pain, Fever, and Abnormal Imaging Studies
Alan C. Aisenberg, and Metin Ozdemirli

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Presentation of Case

A 52-year-old man was admitted to the hospital because of severe back pain.

The patient had been well until 13 months earlier, when he had low back pain after lifting a 45-kg object. Three months later, he returned to work. Four months before admission, the back pain recurred when he turned abruptly, and he began to have intermittent low-grade fever and sweats.

Thirteen weeks before admission, a radionuclide bone scan (Figure 1), obtained at another hospital, revealed on delayed images focal increased activity in the first and third lumbar spinous processes, a midthoracic vertebral body, the left 10th . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Alan C. Aisenberg's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References




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