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首页> 外文期刊>BMC Musculoskeletal Disorders >A case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis
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A case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis

机译：一例流行性肌痛，症状类似于急性化脓性脊柱炎和椎间盘炎

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Background Epidemic myalgia is a disease that presents with fever and extreme myalgia of the trunk due to an acute enterovirus infection. The trunk pain is mainly in the chest or in the epigastrium. We aimed to highlight a case of epidemic myalgia where initial diagnosis needed differentiation from acute purulent spondylitis and discitis. Case presentation A 33-year-old woman presented with fever, chills, and acute episodes of low back pain. The sole unusual finding was pain upon spinal percussion, limited to the 4th and 5th lumbar vertebrae. Spinal MRI showed no abnormality. Paired serum samples from disease days 4 and 15 showed a significant increase in coxsackievirus B3–neutralizing antibodies. Based on this course, we diagnosed epidemic myalgia. Conclusions Epidemic myalgia should be considered when differentiating acute low back pain accompanied by fever.
机译：背景技术流行性肌痛是一种由于急性肠病毒感染导致发烧和躯干极端肌痛的疾病。躯干疼痛主要发生在胸部或上腹。我们旨在突出一例流行性肌痛，在这种情况下，最初的诊断需要与急性化脓性脊椎炎和椎间盘炎区分开。病例介绍一名33岁的妇女出现发烧，发冷和急性下腰痛发作。唯一不寻常的发现是脊柱撞击时疼痛，仅限于第4和第5腰椎。脊柱MRI未见异常。疾病第4天和第15天的配对血清样本显示柯萨奇病毒B3中和抗体显着增加。基于此过程，我们诊断出流行性肌痛。结论鉴别急性腰背痛伴发烧时应考虑流行性肌痛。

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