case_images: PMC6196796_01
case_images: MRI thoracic spine: lateral view reveals discitis osteomyelitis at T8-T9 with an associated 1.6 x 0.8 x 1.5 cm mature rim-enhancing right anterior paravertebal abscess.
case_images: CRIID2018-4878423.001.jpg
case_images: PMC6196796_01_CRIID2018-4878423.001.jpg
case_images: fig1
case_images: T9 with a large paraspinous mass to the right of the midline at T8 and T9, asymmetric T8-T9 disc space widening. The diagnosis was confirmed on MRI thoracic spine as discitis osteomyelitis at T8-T9 with an associated 1.6 x 0.8 x 1.5 cm mature rim-enhancing right anterior paravertebal abscess (Figures 1 and 2). There was abnormal enhancement and STIR hyperintense signal in the anterior most portion of the T8-T9 disc space with small adjacent endplate erosions along with diffuse marrow edema and enhancement throughout the T8-T9 vertebral bodies.
case_images: MRI thoracic spine: lateral view reveals discitis osteomyelitis at T8-T9 with an associated 1.6 x 0.8 x 1.5 cm mature rim-enhancing right anterior paravertebal abscess.
case_images: CRIID2018-4878423.002.jpg
case_images: PMC6196796_01_CRIID2018-4878423.002.jpg
case_images: fig2
case_images: T9 with a large paraspinous mass to the right of the midline at T8 and T9, asymmetric T8-T9 disc space widening. The diagnosis was confirmed on MRI thoracic spine as discitis osteomyelitis at T8-T9 with an associated 1.6 x 0.8 x 1.5 cm mature rim-enhancing right anterior paravertebal abscess (Figures 1 and 2). There was abnormal enhancement and STIR hyperintense signal in the anterior most portion of the T8-T9 disc space with small adjacent endplate erosions along with diffuse marrow edema and enhancement throughout the T8-T9 vertebral bodies.
case_images: Streptococcus pneumoniae Gram stain of blood broth culture.
case_images: CRIID2018-4878423.003.jpg
case_images: PMC6196796_01_CRIID2018-4878423.003.jpg
case_images: fig3
case_images:  S. pneumoniae was isolated as a direct sample of the spinal tissue biopsy on the primary culture plate, and also she underwent needle aspiration of paravertebral abscess resulting in purulent material from the paraspinous soft tissue mass that cultured streptococcal pneumoniae (Figure 3).