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Welcome, eCureMe.com medical contents search April 25, 2013
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Discitis

more about Discitis


Diskitis



  • This is an inflammatory disease of the space between the vertebrae, especially upper back or low back.
  • It usually occurs in children who are younger than 5 years.

  • A low-grade fever
  • Irritability
  • Gradual onset of limp
  • Refusal to sit up, stand, or walk
  • Back pain and stiffness
  • Abdominal pain
  • Increased curvature of the back

  • It is caused by an infection in more than 50% of cases:
    1. Staphylococcus aureus
    2. Gram-negative organism such as Salmonella, Klebsiella
    3. Viruses

  • X-ray of the back shows narrow disk space.
  • Spine MRI shows swelling of the disk space.
  • Bone shows increased uptake.
  • Blood test shows elevated white blood cells and elevated ESR.

  • Anti-staphylococcal antibiotics such as methicillin, nafcillin, oxacillin
  • Pain killer or nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Bed rest or immobilization

  • Contact your pediatrician if your child has persistent back pain.




more about Discitis


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