Cryptococcal Osteomyelitis

Timothy C. Sloan, DVM, MD, Jason Hosey, MD

Disclosures

Appl Radiol. 2003;32(7) 

In This Article

Summary

A 51-year-old man presented to the emergency department with chest pain radiating to the right shoulder. The pain had been present for several months but had become refractory to analgesics. Past medical history was remarkable for recently diagnosed diabetes mellitus with negative cardiac and gastrointestinal workups. Physical examination revealed the patient had a low-grade fever and pain localized over the midthoracic spine. A radiograph of the thoracic spine (Figure 1) prompted subsequent computed tomography (CT; Figure 2) and magnetic resonance (MR; Figure 3) examinations.

Radiographs of the thoracic spine demonstrate compression fracture of T6.

CT demonstrates a paravertebral soft-tissue mass with destruction of T6 vertebral body, posterior elements, and posterior left rib.

(A) Sagittal T2, (B) axial, and (C) sagittal T1 post-gadolinium sequences demonstrate abnormal enhancement within the T6 vertebral body with sparing of the adjacent intervertebral discs.

(A) Sagittal T2, (B) axial, and (C) sagittal T1 post-gadolinium sequences demonstrate abnormal enhancement within the T6 vertebral body with sparing of the adjacent intervertebral discs.

(A) Sagittal T2, (B) axial, and (C) sagittal T1 post-gadolinium sequences demonstrate abnormal enhancement within the T6 vertebral body with sparing of the adjacent intervertebral discs.

Cryptococcal osteomyelitis

Radiography of the thoracic spine demonstrated compression fracture of T6 (Figure 1). CT demonstrated a paravertebral soft-tissue mass with destruction of T6 vertebral bodies, posterior elements, and posterior left rib (Figure 2). MR imaging revealed abnormal enhancement within the T6 vertebral body with sparing of the adjacent intervertebral discs (Figure 3).

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