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{
    "pk": 9677,
    "title": "Pneumorrhachis Secondary From Sacral Decubitus Ulcer",
    "subtitle": null,
    "abstract": "An elderly woman with a chronic decubitus sacral ulcer presented to the emergency department with sepsis. A computed tomography of her abdomen showed diffuse gas extending throughout the thoracolumbar spinal canal. Pneumorrhachis is a rare radiographic finding defined as gas within the spinal canal. There are many causes of pneumorrhachis ranging from trauma to infection. In this case the pneumorrhachis was caused by direct spread of gas-forming organisms from vertebral osteomyelitis. Emergency physicians should know about the implication of gas in the spinal canal in the setting of sepsis.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Pneumorrhachis"
        },
        {
            "word": "meningitis"
        },
        {
            "word": "Decubitus Ulcer"
        },
        {
            "word": "Air in spinal canal"
        },
        {
            "word": "Gas"
        },
        {
            "word": "Spinal canal"
        },
        {
            "word": "vertebral osteomyelitis"
        },
        {
            "word": "sepsis"
        }
    ],
    "section": "Diagnostic Acumen",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4gb7h64h",
    "frozenauthors": [
        {
            "first_name": "Siamak",
            "middle_name": "",
            "last_name": "Moayedi",
            "name_suffix": "",
            "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland",
            "department": "None"
        },
        {
            "first_name": "Lisa",
            "middle_name": "",
            "last_name": "Babin",
            "name_suffix": "",
            "institution": "University of Maryland, School of Medicine, Baltimore, Maryland",
            "department": "None"
        }
    ],
    "date_submitted": "2016-03-08T15:31:37Z",
    "date_accepted": "2016-03-08T15:31:37Z",
    "date_published": "2016-06-13T21:00:26Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/9677/galley/5368/download/"
        }
    ]
}