[Immobilizing back pain in an elderly patient: Differential diagnostic considerations and diagnosis].

Authors

Nicole Schmid, Michael Osthoff, Dimitri Gassmann

Published in

Praxis. Volume 115. Issue 8. Pages 240-243.

Abstract

A 77-year-old patient presents with acute back pain. Due to elevated CRP and other lab abnormalities, bacterial spondylodiscitis is initially suspected, and blood cultures are obtained early. However, a biopsy reveals uric acid crystals and cultures remain negative, leading to the diagnosis of gout spondylodiscitis. Treatment includes renal-adjusted anti-inflammatory therapy, urate-lowering therapy and flare prophylaxis.

PMID:
42708200
Bibliographic data and abstract were imported from PubMed on 08 Sep 2026.

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