Peak incidence is between 0 ...
Uncomfortable, irritable child
Refusal to walk
Fever
Back or abdominal pain
Symptoms of short duration prior to presentation
Usually, rigid posture and pain elicited on moveme...
Usually quite responsive to NSAIDs
Toddlers are usually treated with antibiotics for S. aureus and Kingella.
When to expect improvement: Most patients are asymptomatic in 6 to 8 weeks.
Signs to watch for:
Recurrence of symptoms due to reactivation of the ...
Arthurs OJ, Gomez AC, Heinz P, et al. The toddler refusing to weight-bear: a revised imaging guide from a case series. Emerg Med J. 2009;26(11):797–801. [View Abstract on Ovid...
722.90 Other and unspecified disc disorder, unspecified region
722.93 Other and unspecified disc disorder, lumbar region
722.91 Other and unspecified disc disorder, cervical region
722.92 Other...
Q: When are a biopsy and tissue culture indicated?
A: If there is bony destruction of adjacent vertebral bodies, if clinical course is prolonged or recurrent, or if the lesion mimics a tumor
Q: When...
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FIGURE 123.9. Discitis. L3–L4 intervertebral disc space is narrowed. Anteroposterior <bold>(A)</bold> and lateral <bold>(B)</bold> views.
FIGURE 123.9. Discitis. L3–L4 intervertebral disc space is narrowed. Anteroposterior <bold>(A)</bold> and lateral <bold>...
FIGURE 7.5. Septic discitis. Magnetic resonance imaging scan of the lumbar spine of a 14-month-old child who stopped cruising. <bold>A:</bold> Sagittal T2-weighted scan showing reduced signal in the L5/S1 intervertebral disc (<italic>arrow</bold>) and high signal in the end plate and adjacent medullary bone. <bold>B:</bold> Axial T1-weighted scan after contrast demonstrated intense contrast enhancement of the disc. <bold>C:</bold> Axial T1-weighted scan showing nerve roots surrounded by fat. (Courtesy of Dr. Philip ...
FIGURE 7.5. Septic discitis. Magnetic resonance imaging scan of the lumbar spine of a 14-month-old child who stopped cruising. <bold...
FIG. 11 Diabetic patient with acute spontaneous onset of low back pain and fever. <bold>A,B:</bold> Dramatic elements of two-level spondylodiscitis, L3-5, with secondary communicating psoas abscess component.
FIG. 11 Diabetic patient with acute spontaneous onset of low back pain and fever. <bold>A,B:</bold> Dramatic elements of two-l...
Fig. 1. Lumbar discitis. <bold>A:</bold> Anterior-posterior and lateral radiograph of a 5-year-old boy 4 weeks after presentation for refusal to ambulate. Physical examination of lower extremities did not demonstrate the source of the problem. <bold>B:</bold> The lateral radiograph demonstrates narrowing of the disc space between L-2 and L-3. No other findings are noted.
Fig. 1. Lumbar discitis. <bold>A:</bold> Anterior-posterior and lateral radiograph of a 5-year-old boy 4 weeks after presentat...
FIG. 6. Sagittal T1-weighted magnetic resonance image of the lumbar spine in a patient with postoperative discitis at L-5 to S-1. Note the hypointense signal in the disc and adjacent vertebral bodies.
FIG. 6. Sagittal T1-weighted magnetic resonance image of the lumbar spine in a patient with postoperative discitis at L-5 to S-1. Note the...
FIG. 7. Sagittal T2-weighted magnetic resonance image of the lumbar spine in a patient with postoperative discitis at L-5 to S-1. Note the hyperintense signal in the disc and adjacent vertebral bodies.
FIG. 7. Sagittal T2-weighted magnetic resonance image of the lumbar spine in a patient with postoperative discitis at L-5 to S-1. Note the...
FIG. 8. Sagittal T1-weighted, post-contrast magnetic resonance image of the lumbar spine in a patient with postoperative discitis at L-5 to S-1. Note the adjacent vertebral marrow, the disc space, and the annulus fibrosus enhancement.
FIG. 8. Sagittal T1-weighted, post-contrast magnetic resonance image of the lumbar spine in a patient with postoperative discitis at L-5 t...