Epidural chronic inflammatory mass of the lumbar spine in a human immunodeficiency virus positive patient with a history of repeated epidural injections

Abstract

This study is a rare case of an epidural chronic inflammatory mass of the lumbar spine in an HIV-positive patient with a history of 12 epidural injections for 3 years because of chronic low back pain (LBP). A 61-year-old man had a 10year history of LBP and buttock pain. He also has been HIV-positive for 4 years. Patient underwent magnetic resonance imaging (MRI) at the lumbar region. TheMRI showed degenerated disc bulging, mild stenosis, and hypertrophied ligament flavum at multiple levels in the lumbar spine (Fig. 1). The LBP was treated with epidural triamcinolone and ropivacaine injection, total of 12 treatments at a pain clinic, but 3 years later, his back pain and bilateral buttock