A Case of Calcium Pyrophosphate Deposition Disease Involving a Lumbar Facet Joint Following Urinary Tract Infection

Tetsuro Ujihara; Kei Yamamoto; Tsuyoshi Kitaura; Yuichi Katanami; Satoshi Kutsuna; Nozomi Takeshita; Kayoko Hayakawa; Norio Ohmagari

doi:10.2169/internalmedicine.2099-18

This article has now been updated. Please use the final version.

A Case of Calcium Pyrophosphate Deposition Disease Involving a Lumbar Facet Joint Following Urinary Tract Infection

Tetsuro Ujihara, Kei Yamamoto, Tsuyoshi Kitaura, Yuichi Katanami, Satoshi Kutsuna, Nozomi Takeshita, Kayoko Hayakawa, Norio Ohmagari

Author information

Tetsuro Ujihara
Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
Department of Gastroenterology, New Tokyo Hospital, Japan
Kei Yamamoto
Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
Tsuyoshi Kitaura
Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
Yuichi Katanami
Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
Satoshi Kutsuna
Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
Nozomi Takeshita
Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
Kayoko Hayakawa
Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
Norio Ohmagari
Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan

Keywords: calcium pyrophosphate deposition, facet joint arthritis, pseudo gout

JOURNAL OPEN ACCESS Advance online publication

Article ID: 2099-18

DOI https://doi.org/10.2169/internalmedicine.2099-18

The final version of this article is now available: Vol. 58 (2019), No. 12 pp. 1787-1789

Details

Abstract

A 75-year-old woman was admitted with urosepsis due to Escherichia coli infection. After improvement with a ureteral stent and antimicrobial agent, she complained of back pain and showed elevated inflammation marker levels. Arthralgia and arthritis of multiple peripheral joints were noted, and radiography indicated cartilage calcification. Magnetic resonance imaging revealed lumbar facet joint effusion. Her symptoms improved with nonsteroidal anti-inflammatory drug administration. Thus, she was diagnosed with calcium pyrophosphate deposition (CPPD)-related facet joint arthritis (FJA) rather than infectious FJA. CPPD-related FJA is an important differential diagnosis in elderly individuals with a risk of CPPD disease who complain of back pain.

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