1. [My Back is Still Hurting!].
- Author
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Knechtle B, Jäckel K, Rosemann T, Rüst CA, and Öhlschlegel C
- Subjects
- Acetaminophen therapeutic use, Adult, Biopsy, Bone and Bones pathology, Diagnosis, Differential, Diagnostic Imaging, Eunuchism pathology, Eunuchism therapy, Humans, Low Back Pain pathology, Low Back Pain therapy, Male, Osteomalacia pathology, Osteomalacia therapy, Osteoporosis pathology, Osteoporosis therapy, Physical Therapy Modalities, Treatment Failure, Eunuchism diagnosis, Low Back Pain etiology, Osteomalacia diagnosis, Osteoporosis diagnosis
- Abstract
We present the case of a 39-year-old man who reported to the primary care physician for low back pain. Pain persisted despite extensive assessment and therapy. During the course, bilateral femoral neck fractures occurred and due to multiple enrichments in scintigraphy chronic multifocal (sterile) osteomyelitis was suspected. In the further follow-up the appropriate diagnosis of osteomalacia was established in bone biopsy and adequate treatment with Vitamin D was initiated. During therapy, the patient was free of pain or discomfort.
- Published
- 2015
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