Septic arthritis of the cervical facets: Unusual cause of neck pain

T2‐weighted fat saturation magnetic resonance imaging (MRI) of the cervical spine revealed erosion and a high‐intensity area around the C3‐C4 articular processes (Figure A, arrow), which spread to the paraspinal soft tissue around the right C2‐C3 facets (Figure B, arrow). [...]the patient was diagno...

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Bibliographic Details
Published in:Journal of general and family medicine 2018-07, Vol.19 (4), p.143-144
Main Authors: Tomoda, Yoshitaka, Kihara, Yasuyuki, Kozuma, Ryoji, Tanaka, Kazutoyo
Format: Article
Language:English
Subjects:
Arthritis
facet joint
Family medical history
Images in Clinical Medicine
Neck pain
NMR
Nuclear magnetic resonance
septic arthritis
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Summary:T2‐weighted fat saturation magnetic resonance imaging (MRI) of the cervical spine revealed erosion and a high‐intensity area around the C3‐C4 articular processes (Figure A, arrow), which spread to the paraspinal soft tissue around the right C2‐C3 facets (Figure B, arrow). [...]the patient was diagnosed with septic arthritis of the cervical facets with abscess formation. [...]physicians should consider septic arthritis of the cervical facet as a possible differential diagnosis, given that a delay in the diagnosis can easily result in complications such as epidural abscesses, joint destruction, and neurologic sequelae; these may ultimately become lethal. [...]precise investigation and immediate detection of the infectious source using MRI are essential for an early diagnosis and rapid treatment of the disease.
ISSN:2189-7948
2189-6577
2189-7948
DOI:10.1002/jgf2.181