@article{oai:niigata-u.repo.nii.ac.jp:00006381,
 author = {Kobayashi, Osamu and Ohno, Koichiro and Yamamoto, Takasi and Abe, Atsushi and Murakawa, Eizo and Takano, Tasuku and Tojo, Takeshi},
 issue = {2},
 journal = {Acta medica et biologica, Acta medica et biologica},
 month = {Jun},
 note = {A 64-year-old woman was admitted to our hospital with fever and back pain of two weeks' duration. Chest X-ray on admission disclosed a massive bilateral pleural effusion, and computed tomography (CT) showed a paravertebral lesion of the thoracic spine, indicating an abscess spreading to the bilateral thoracic cavities. Thoracocentesis showed exudative pleural effusion with neutrophils dominant in cytology, but a negative culture for bacteria. Magnetic resonance imaging (MRI) revealed discitis at T9/10 disc. According to the above findings, pleuritis extending from thoracic vertebral discitis was suspected. The patient was treated with antibiotics (Imipenem/ Cilastatin Na (IPM/ CS), Clindamycin (CLDM)), and pleural effusion was almost resolved within three weeks. Discitis of thoracic vertebra should be included as one of the origins of acute pleural disease, and MRI is useful for the early diagnosis of discitis.},
 pages = {77--80},
 title = {A Case of Bilateral Pleuritis Secondary to Discitis of the Thoracic Spine},
 volume = {46},
 year = {1998}
}