Radiological Cases of the Month

Be, Magera; Sg, Klein; Cw, Derrick

doi:10.1001/archpedi.1989.02150240101027

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1997

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“…Radiographic changes on plain films may be delayed for 2-8 weeks after the onset of symptoms [10,11]. Gallium and technetium bone scans may be abnormal as early as 1 week after symptoms appear.…”

Section: Discussionmentioning

confidence: 99%

“…However, bone scans are nonspecific and the use of gallium in infants is discouraged because of the greater radiation dose. Also, discitis is not excluded by a normal gallium or technetium bone scan [10]. The sensitivity of MR for detection of infections of the musculoskeletal system early in their course is greater than that of plain films and CT, and similar to that of radionuclide scanning [3,8,15].…”

Section: Discussionmentioning

confidence: 99%

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Intervertebral disc space inflammation in children

Maliner

Johnson

1997

Child's Nervous System

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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.

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Section: Discussionmentioning

confidence: 99%