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Tophaceous Gout of Lumbar Spine with Fever Mimicking Infection

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A 56-year-old man was admitted with complaints of low back pain and fever lasting for about 2 months. He had a 10-year history of intermittent gouty arthritis in his feet, which was being treated with colchicine, with the most recent attack occurring 12 months before. Assessment On physical examination, his body temperature was 38.5°C. His peripheral joints showed no redness, swelling,...