PMC6727100_01
Moderate L4-L5 degenerative disease seens on Lumbar spine X ray; b, d: MRI (T2 flair and T1 post contrast respectively) of the lumbar spine shows osteomyelitis with extensive endplate and osseous erosions at L4-5 and L5-S1 plus severe constriction of the thecal sac and cauda equine compression at L5-S1 with epidural abscess; c: MRI (T2 axial) shows para-spinous and bilateral psoas myositis.
gr1.jpg
PMC6727100_01_gr1.jpg
fig0005
At that time, his symptoms were attributed to moderate L4-L5 degenerative disease noted on a lumbar spine X-ray (Fig. 1). S1-S2 neural foramen, with paraspinous and bilateral psoas myositis (Fig. 1). Subsequently, a CT guided bone biopsy of the L4-L5 disc with culture yielded gram-negative coco-bacilli identified as Pasteurella multocida.