11th June 2024

A 36-year-old man presents with back pain which has been ongoing for 6 months

A 36-year-old man presents with back pain which has been ongoing for 6 months, worsening in the last 2 months and associated with fever, chills and weight loss of 10 kg. He has oral candidiasis with cervical lymphadenopathy. CXR showed miliary consolidation bilaterally. He is HIV positive, with a CD4 count of 50. MRI of the spine showed spondylodiscitis at the levels of  L3, L4 and L5.

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