A 27 year-old male receiving high-dose prednisolone for a hematologic condition is admitted to the ED complaining of severe back pain that persists regardless of position or activity. He also complains of not being able to urinate or stand due to weakness in his lower extremities. He is febrile. You start him on appropriate antibiotics and asked for an MRI but the radiologist only agrees to perform a CT scan. The CT scan shows intramedullary gas which is consistent with osteomyelitis. What is the best next step:

About the Author: Anton Helman

Dr. Anton Helman is an Emergency Physician at North York General in Toronto. He is an Assistant Professor at the University of Toronto, Division of Emergency Medicine and the Education Innovation Lead at the Schwartz-Reisman Emergency Medicine Instititute. He is the founder, editor-in-chief and host of Emergency Medicine Cases.