Intervertebral disc space inflammation in children

Discitis in children commonly presents with fever, back pain, irritability, and an inability to walk. An elevated ESR and characteristic changes on plain X-rays or bone scan are sufficient for diagnosis, but MRI is more sensitive and more specific, and it shows pathologic changes earlier. Intravenou...

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Veröffentlicht in:	Child's nervous system 1997-02, Vol.13 (2), p.101-103
Hauptverfasser:	Maliner, L I, Johnson, D L
Format:	Artikel
Sprache:	eng
Schlagworte:	Anti-Inflammatory Agents - administration & dosage Dexamethasone - administration & dosage Discitis - diagnosis Discitis - drug therapy Female Humans Infant Infusions, Intravenous Lumbar Vertebrae - pathology Magnetic Resonance Imaging Neurologic Examination - drug effects Scoliosis - diagnosis Scoliosis - drug therapy Walking - physiology
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description	Discitis in children commonly presents with fever, back pain, irritability, and an inability to walk. An elevated ESR and characteristic changes on plain X-rays or bone scan are sufficient for diagnosis, but MRI is more sensitive and more specific, and it shows pathologic changes earlier. Intravenous antibiotics are administered when cultures of the disc space are positive, but in more than half of the cases, no organism can be grown. Symptoms are alleviated with bed-rest or external orthoses, but neither the duration nor the kind of symptomatic treatment influences outcome.
doi_str_mv	10.1007/s003810050053
format	Article
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subjects	Anti-Inflammatory Agents - administration & dosage Dexamethasone - administration & dosage Discitis - diagnosis Discitis - drug therapy Female Humans Infant Infusions, Intravenous Lumbar Vertebrae - pathology Magnetic Resonance Imaging Neurologic Examination - drug effects Scoliosis - diagnosis Scoliosis - drug therapy Walking - physiology
title	Intervertebral disc space inflammation in children
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