53-Year-Old Man With Fever and Back Pain

Contiguous Multilevel Vertebral Osteomyelitis without Adjacent Intervertebral Discs Involvement

“…Diagnosis of spinal infections is based on clinical and radiological features and often is delayed or missed due to the rarity of the disease and the insidious onset of symptoms. [ 1 ] Atypical manifestations of proven spinal infections with isolated spondylitis without the involvement of adjacent disks have been previously described as a rare finding and are thought to represent an early manifestation of spinal infection. [ 2 3 4 5 ] Thus, we emphasize on the fact that a clinician should know and consider these atypical findings so as not to exclude infection and distinguish this disease from other destructive lesions of the spine when some of the typical radiological signs are lacking.…”