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Case Reports in Medicine
Volume 2013 (2013), Article ID 416498, 3 pages
http://dx.doi.org/10.1155/2013/416498
Case Report

Chest Pain? An Unusual Presentation of Vertebral Osteomyelitis

Department of Medicine, College of Medicine-Jacksonville, University of Florida, Jacksonville, FL 32209, USA

Received 25 November 2012; Revised 9 January 2013; Accepted 11 January 2013

Academic Editor: T. Ottenhoff

Copyright © 2013 Cristian Landa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present a case of vertebral osteomyelitis presenting as chest pain. The patient initially underwent a CT chest angiogram to rule out a pulmonary embolism, which incidentally showed a soft tissue vertebral mass at T3-T4 disk space. Subsequent thoracic vertebral MRI was consistent with osteomyelitis with cord compression. Tissue culture from a CT-guided biopsy grew MRSA. The patient was successfully treated with Vancomycin. This is a rare presentation of vertebral osteomyelitis which poses an interesting diagnostic challenge.