@article {Kern1025, author = {R. Z. Kern and J. B. Houpt}, title = {Pyogenic vertebral osteomyelitis: diagnosis and management}, volume = {130}, number = {8}, pages = {1025--1028}, year = {1984}, publisher = {CMAJ}, abstract = {Vertebral osteomyelitis represents a diagnostic challenge to the clinician. Two cases of pyogenic vertebral osteomyelitis occurring weeks to months after a urinary tract infection with Escherichia coli are described. The rarity and subtle clinical presentation of this condition, the presence of pre-existing degenerative arthritic changes, and delayed appearance of radiologic signs of progression to destructive osteomyelitis contributed to a significant delay in diagnosis. Increased awareness of vertebral osteomyelitis as a clinical entity combined with information from radionuclide scanning may permit earlier detection of this condition.}, issn = {0820-3946}, URL = {https://www.cmaj.ca/content/130/8/1025}, eprint = {https://www.cmaj.ca/content}, journal = {CMAJ} }