ArticleCase reports in rheumatology2021
Diagnosing Spinal Gout: A Rare Case of Back Pain and Fever.
Article in Case reports in rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 6 citations in OpenAlex.
- Axial skeleton involvement in gout: clinical spectrum and dual-energy computed tomography findings from a descriptive real-world study.Clinical rheumatology · 2026Article
- A Rare Case Report of an Adult With Intraspinal Gouty Stones and Concurrent Knee Joint Involvement.Clinical case reports · 2025Article
- Spinal gout diagnosis in chiropractic practice: narrative review.The Journal of the Canadian Chiropractic Association · 2023Article
- Spinal gout diagnosed by dual-energy CT: A case report.Radiology case reports · 2022Article
- Understanding spinal gout: A comprehensive study of 88 cases and their clinical implications.Journal of craniovertebral junction & spineReview
- Tophaceous Gout in the Axial Skeleton: An Unusual Case with Key Imaging Characteristics.Kansas journal of medicineArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Gout is a common inflammatory arthritis that has a high prevalence worldwide. It is characterized by monosodium urate deposition, usually affecting the joints and soft tissue of the lower extremities. Urate deposition in the axial skeleton resulting in spinal gout is rare. However, it seems to be more prevalent than usually thought, largely because it is underdiagnosed. Imaging findings are, for the most part, nonspecific and often mimic infectious etiologies. Definitive diagnosis requires pathological examination. Thus, it can be easily missed. We present a 41-year-old male with a seven-year history of untreated gout who came in with severe back pain, fevers, and radiculopathy. He was initially diagnosed with vertebral osteomyelitis. However, after a biopsy, spinal gout was confirmed. Spinal gout can be misdiagnosed as vertebral osteomyelitis given the similarities in presentation and imaging findings. This case report highlights the importance of keeping spinal gout as a differential of vertebral osteomyelitis, especially in patients with long-standing or uncontrolled gout with tophi.
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Registered trials
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