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Age and Ageing Advance Access originally published online on March 17, 2008
Age and Ageing 2008 37(4):481-482; doi:10.1093/ageing/afn041
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Copyright © The Author 2008. Published by Oxford University Press on behalf of the British Geriatrics Society.

Case Reports

A pagetic elderly lady with back pain

Caroline Jane Magri2, Peter Ferry1, Mark Anthony Vassallo1 and Antoine Vella1

1 Zammit Clapp Hospital, St. Julians, Malta
2 St. Luke's Hospital, G'Mangia, Malta

Address correspondence to: Peter Ferry. Tel: 00356 21437772; Fax: 00356 21437772. Email: petedel{at}gmail.com

Abstract

An elderly lady suffering from Paget's disease presented with severe back pain after sustaining a fall. The rise in inflammatory markers and poor response to analgesics led to the diagnosis of septic disease that was confirmed by MRI. A high index of suspicion for septic disease is necessary in elderly patients presenting with back pain and an associated rise in inflammatory markers.

Keywords: back pain, septic discitis, Paget's disease, inflammatory markers, elderly

Received 19 July 2007; accepted in revised form 20 December 2007.


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