TY - JOUR T1 - Pyogenic vertebral osteomyelitis: diagnosis and management JF - Canadian Medical Association Journal JO - CMAJ SP - 1025 LP - 1028 VL - 130 IS - 8 AU - R. Z. Kern AU - J. B. Houpt Y1 - 1984/04/15 UR - http://www.cmaj.ca/content/130/8/1025.abstract N2 - 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. ER -