Diagnosis behind the mask: A rare case of infected Charcot's spine

Charcot's spine is a very uncommon long-term complication of spinal cord injury. Infection of the spine is a common pathology, but infection of a Charcot's spine is rare and is challenging to diagnose, especially in differentiating between the Charcot defect and the osteomyelitis defect. S...

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Main Authors: Giedre Kučinskaite, MD, Theodor Lutz, MD, Sönke Frey, PhD, MD, Mark Wetterkamp, MD, Tobias L. Schulte, PhD, MD, Carsten Lukas, PhD, MD
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323003084
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author Giedre Kučinskaite, MD
Theodor Lutz, MD
Sönke Frey, PhD, MD
Mark Wetterkamp, MD
Tobias L. Schulte, PhD, MD
Carsten Lukas, PhD, MD
author_facet Giedre Kučinskaite, MD
Theodor Lutz, MD
Sönke Frey, PhD, MD
Mark Wetterkamp, MD
Tobias L. Schulte, PhD, MD
Carsten Lukas, PhD, MD
author_sort Giedre Kučinskaite, MD
collection DOAJ
description Charcot's spine is a very uncommon long-term complication of spinal cord injury. Infection of the spine is a common pathology, but infection of a Charcot's spine is rare and is challenging to diagnose, especially in differentiating between the Charcot defect and the osteomyelitis defect. Surgical reconstruction has to be extremely individualized. A 65-year-old man with a history of thoracic spinal cord injury with paraplegia 49 years ago was admitted to our hospital with high fever and aphasia. After a thorough diagnostic process, destructive Charcot's spine and secondary infection were diagnosed. This report additionally reviews the surgical management of secondary infected destructive lumbar Charcot's spine and follows the patient's recovery and postoperative quality of life.
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spelling doaj.art-ca59e4c7479642e1a72e3f33816802972023-06-15T04:55:28ZengElsevierRadiology Case Reports1930-04332023-08-0118828002805Diagnosis behind the mask: A rare case of infected Charcot's spineGiedre Kučinskaite, MD0Theodor Lutz, MD1Sönke Frey, PhD, MD2Mark Wetterkamp, MD3Tobias L. Schulte, PhD, MD4Carsten Lukas, PhD, MD5Department of Diagnostic and Interventional Radiology, St. Josef Hospital, Ruhr University of Bochum, Gudrunstrasse 56, Bochum, 44791, GermanyDepartment of Diagnostic and Interventional Radiology, St. Marien Hospital Hamm, GermanyDepartment of Orthopedics and Trauma Surgery, St. Josef Hospital, Ruhr University of Bochum, Bochum, GermanyDepartment of Orthopedics and Trauma Surgery, St. Josef Hospital, Ruhr University of Bochum, Bochum, GermanyDepartment of Orthopedics, Emergency Surgery and Hand Surgery, Florence Nightingale Hospital, Dusseldorf, Germany; Corresponding author.Institute of Neuroradiology, St. Josef Hospital, Ruhr University of Bochum, Bochum, Germany; Department of Neurology, St. Josef Hospital, Ruhr University of Bochum, Bochum, Germany; Corresponding author.Charcot's spine is a very uncommon long-term complication of spinal cord injury. Infection of the spine is a common pathology, but infection of a Charcot's spine is rare and is challenging to diagnose, especially in differentiating between the Charcot defect and the osteomyelitis defect. Surgical reconstruction has to be extremely individualized. A 65-year-old man with a history of thoracic spinal cord injury with paraplegia 49 years ago was admitted to our hospital with high fever and aphasia. After a thorough diagnostic process, destructive Charcot's spine and secondary infection were diagnosed. This report additionally reviews the surgical management of secondary infected destructive lumbar Charcot's spine and follows the patient's recovery and postoperative quality of life.http://www.sciencedirect.com/science/article/pii/S1930043323003084Case ReportCharcot's spineInfectionSpineReconstructive surgery
spellingShingle Giedre Kučinskaite, MD
Theodor Lutz, MD
Sönke Frey, PhD, MD
Mark Wetterkamp, MD
Tobias L. Schulte, PhD, MD
Carsten Lukas, PhD, MD
Diagnosis behind the mask: A rare case of infected Charcot's spine
Radiology Case Reports
Case Report
Charcot's spine
Infection
Spine
Reconstructive surgery
title Diagnosis behind the mask: A rare case of infected Charcot's spine
title_full Diagnosis behind the mask: A rare case of infected Charcot's spine
title_fullStr Diagnosis behind the mask: A rare case of infected Charcot's spine
title_full_unstemmed Diagnosis behind the mask: A rare case of infected Charcot's spine
title_short Diagnosis behind the mask: A rare case of infected Charcot's spine
title_sort diagnosis behind the mask a rare case of infected charcot s spine
topic Case Report
Charcot's spine
Infection
Spine
Reconstructive surgery
url http://www.sciencedirect.com/science/article/pii/S1930043323003084
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