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E. coli Discitis-Osteomyelitis post-Trauma

Imaging findings

Chest CT shows end-plate destruction and adjacent soft tissue enhancement at a thoracic spine level, complicating a prior traumatic compression fracture. Cultures confirmed E. coli osteomyelitis.

Key takeaways

Discitis-osteomyelitis can complicate traumatic spinal fractures due to hematogenous seeding of the disrupted end-plates, with E. coli being an uncommon but reported pathogen.

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