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Review Question - QID 4935

Adult Pyogenic Vertebral Osteomyelitis Studies CT guided biopsy QID: 4935 (SBQ13PE.7)
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QID 4935 (Type "4935" in App Search)
A 45-year-old HIV-positive homeless man presents with increasing low back pain for the last three weeks. He now reports difficulty ambulating, fever, and loss of appetite. He denies bowel and bladder symptoms. He denies any symptoms radiating into his buttock or legs. On physical exam, he has in obvious discomfort with standing which worsens in the forward flexion position. He has a normal motor and sensory exam in his lower extremities. Blood cultures are performed which come back negative. His imaging is shown in Figures A and B. What would be the most next appropriate step in treatment?
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