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BMC Musculoskeletal Disorders

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Open Access 01-12-2016 | Case report

A case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis

Authors: Tsuneaki Kenzaka, Yukariko Hida, Masanori Matsumoto, Hozuka Akita

Published in: BMC Musculoskeletal Disorders | Issue 1/2016

Abstract

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.

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Title: A case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis
Authors: Tsuneaki Kenzaka
Yukariko Hida
Masanori Matsumoto
Hozuka Akita
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2016
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-016-1181-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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