case_images: PMC11807779_01
case_images: PMC11807779_02
case_images: Continued.
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case_images: Inflammatory markers, including white blood cell count (WBC), C-reactive protein (CRP), and procalcitonin (PCT) were elevated (Figure 1A-C). Despite receiving various antibiotics for anti-infective treatment (Figure 1D), the urinary tract infection improved (Figure 1E); however, the patient continued to experience recurrent fever (Figure 1F), and creatinine levels further increased (Figure 1G).
case_images: PMC11807779_03
case_images: PMC11807779_04
case_images: Pre-Admission Data (A). Timeline of White Blood Cell Count (WBC) (B). Timeline of C-Reactive Protein (CRP) (C). Timeline of Procalcitonin (PCT) (D). Timeline of Anti-Infective Treatment (E). Timeline of Urinary White Blood Cells (F). Timeline of Recurrent Fever with Key Events (G). Timeline of Serum Creatinine.
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case_images: From March 5 to 7, fever recurred (Tmax 40 C, Figure 2A). Laboratory tests showed elevated WBC, CRP and PCT (Figure 2B-D). Linezolid was added to cover potential G-positive bacteria (Figure 2E). Linezolid was discontinued, and the meropenem dosage was adjusted (Figure 2E). Creatinine levels steadily decreased (Figure 2F), while WBC declined slowly (Figure 2B).
case_images: Continued.
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case_images: PMC11807779_04_IDR-18-693-g0003.jpg
case_images: f0002a
case_images: March 16, the patient developed lumbar pain. MRI revealed a soft tissue infection at T11-T12 (Figure 3a), which showed a reduction in the lesion after the anti-infective treatment on April 9 (Figure 3b).
case_images: In-Hospital Data (A). Timeline of Body Temperature with Key Events (B). Timeline of White Blood Cell Count (WBC) (C). Timeline of C-Reactive Protein (CRP) (D). Timeline of Procalcitonin (PCT) (E). Timeline of Antibiotic Therapy (F). Timeline of Serum Creatinine.
case_images: IDR-18-693-g0004.jpg
case_images: PMC11807779_04_IDR-18-693-g0004.jpg
case_images: f0002b
case_images: On March 26, biopsy results confirmed acute pyogenic spondylitis (Figure 4).
case_images: PMC11807779_05
case_images: PMC11807779_06