A pagetic elderly lady with back pain

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. Copyright © The Author 2008. Published by Oxford University Press on behalf of the British Geriatrics Society.