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A diagnosis of acute gout was done, and he was treated with high-dose intravenous methylprednisolone and colchicine. Within 48\u2009hours, he had a remarkable clinical improvement. At discharge, neurological and laboratory abnormalities had resolved. Awareness of risk factors for axial gout and a high degree of suspicion are important to establish a prompt diagnosis and treatment to prevent severe complications as seen in this case.<\/jats:p>","DOI":"10.1136\/bcr-2017-222474","type":"journal-article","created":{"date-parts":[[2018,1,24]],"date-time":"2018-01-24T11:38:02Z","timestamp":1516793882000},"page":"bcr-2017-222474","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Severe systemic inflammatory response syndrome immediately after spinal surgery in a patient with axial 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