Therapy was instituted with Inj. Cefotaxime, Cloxacillin, Amikacin and Diclofenac. There was no apparent clinical improvement over the next 48 hours. Despite the absence of neurological signs, an MRI spine was carried out in view of persisting pyrexia and tenderness over the lumbar spine. The MRI revealed discitis at lumbar 2/3 level with a small epidural abscess extending into the left Psoas muscle (Fig 1).
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