Abstract
Over a period of three years four girls and two boys presented with discitis. All were less than 5 years old at presentation, and each had a short history of symptoms. Three were initially thought to have pathological defects of the abdomen. All children showed abnormal posturing with exaggerated lumbar lordosis. Diagnosis was essentially clinical. All cultures were sterile. The erythrocyte sedimentation rate was increased in all the children and all had mild pyrexia. Symptoms lasted from two to 8 weeks. Discitis should be considered in any child with fever, abnormal posturing, and refusal to walk. Early recognition may avoid unnecessary diagnostic and treatment procedures.
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- BREMNER A. E., NELIGAN G. A. Benign form of acute osteitis of the spine in young children. Br Med J. 1953 Apr 18;1(4815):856–860. doi: 10.1136/bmj.1.4815.856. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fischer G. W., Popich G. A., Sullivan D. E., Mayfield G., Mazat B. A., Patterson P. H. Diskitis: a prospective diagnostic analysis. Pediatrics. 1978 Oct;62(4):543–548. [PubMed] [Google Scholar]
- JAMISON R. C., HEIMLICH E. M., MIETHKE J. C., O'LOUGHLIN B. J. Nonspecific spondylitis of infants and children. Radiology. 1961 Sep;77:355–367. doi: 10.1148/77.3.355. [DOI] [PubMed] [Google Scholar]
- Lascari A. D., Graham M. H., MacQueen J. C. Intervertebral disk infection in children. J Pediatr. 1967 May;70(5):751–757. doi: 10.1016/s0022-3476(67)80326-3. [DOI] [PubMed] [Google Scholar]
- Peters A. M., Karimjee S., Saverymuttu S. H., Lavender J. P. A comparison of indium-111-oxine and indium-111-acetylacetone labelled leucocytes in the diagnosis of inflammatory disease. Br J Radiol. 1982 Nov;55(659):827–832. doi: 10.1259/0007-1285-55-659-827. [DOI] [PubMed] [Google Scholar]
- Spiegel P. G., Kengla K. W., Isaacson A. S., Wilson J. C., Jr Intervertebral disc-space inflammation in children. J Bone Joint Surg Am. 1972 Mar;54(2):284–296. [PubMed] [Google Scholar]