Presentation
The patient presents with moderate lower back pain and fever.
Patient Data
Complex collection is visualized in the L2-L3 intervertebral disc, displaying hypointense behavior on T1 and predominantly hyperintense on T2 sequences. In STIR sequences, this collection shows an elevated signal that infiltrates the vertebral body of L3 at its superior and inferior endplates of L2 and extends into the paravertebral space, both the psoas muscles and the posterior wall. This results in a narrow radicular canal, contacting the emerging nerve roots from L2-L3 and descending intracanalicular nerve roots, suggestive of spondylodiscitis with an underlying infiltrative process not to be excluded.
Case Discussion
Spondylodiscitis is an infection that involves the intervertebral discs and adjacent vertebral bodies, typically caused by bacteria or, less commonly, fungi.
The condition often presents with back pain and may be associated with fever and neurologic deficits due to spinal involvement.
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