# Suppurative Spondylitis Misdiagnosed as Endplate Inflammation: A Rare Case Report

**Authors:** Cheng Li, Nian‐su Xiao, Tao Xiong, Sen Li, Bao‐yi Ke, Yang Lin

PMC · DOI: 10.1002/ccr3.70768 · Clinical Case Reports · 2025-08-07

## TL;DR

A rare case of spinal infection was initially misdiagnosed but later correctly identified and treated using advanced sequencing technology.

## Contribution

The paper highlights the successful use of metagenomic next-generation sequencing in diagnosing a rare spinal infection.

## Key findings

- A case of pyogenic spondylitis was misdiagnosed as terminal discitis.
- Metagenomic next-generation sequencing improved diagnostic accuracy and treatment outcomes.

## Abstract

Spinal infectious diseases are difficult to diagnose and treat; we reported a case of pyogenic spondylitis misdiagnosed as terminal discitis and successfully treated. The application of metagenomic next‐generation sequencing technology holds promise in greatly improving diagnostic efficiency.

## Full-text entities

- **Diseases:** Suppurative Spondylitis (MESH:D013166), Endplate Inflammation (MESH:D007249), Spinal infectious diseases (MESH:D003141), terminal discitis (MESH:D015299)

## Full text

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## Figures

9 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12331529/full.md

## References

25 references — full list in the complete paper: https://tomesphere.com/paper/PMC12331529/full.md

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Source: https://tomesphere.com/paper/PMC12331529