PAMJ Clinical Images Quiz

PAMJ - CLINICAL IMAGES QUIZ

Images in Clinical Medicine Quiz allows clinicians, interns, medical students alike to test their clinical knowledge using articles published in the PAMJ. The PAMJ Image Quiz is distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0).

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A 64-year-old man farmar was admitted for low back pain radiating to the lower extremities and a long standing history of febrile illness and loss of apetite. Radiography of the spine revealed parrot´s peak appearance (Pedro Pons´ sign) at the anterior superior end of the L3 vertebra which is characterized by osteosclerosis and osteophyte. Magnetic resonance imaging (MRI) after the administration of gadolinium revealed L2-L3 epiduritis, an erosive change of the anterior portion of L4 and L5, abnormal signal change with enhancement in T12, L2, L3, L5 and S1 body with probable spondylodiscitis in L2/L3 and L5/S1 level. Pathological analysis of a specimen obtained with CT-guided aspiration revealed non caseating granulomas. What is your diagnosis?

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The PAMJ Clinical Quiz comes from manuscripts submitted in PAMJ journals mostly in the category Images in Clinical Medicine, or Case Reports. Quiz questions are developed by PAMJ Clinical Editors and provide an opportunity to health professionals, clinicians, and medical students to test their clinical skills. Distributed under the terms of CC BY 4.0. Feedback: editor@panafrican-med-journal.com.

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Articles published in Pan African Medical Journal are Open Access and distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0).

The Pan African Medical Journal (ISSN: 1937-8688) is a subsidiary of the Pan African Medical Journal. The contents of this journal is intended exclusively for professionals in the medical, paramedical and public health and other health sectors.

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