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Disc space infections in children.

R C Rubin, G B Jacobs, P R Cooper

    Child'S Brain
    |January 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Pediatric intractable low back pain, often from disc space infections, requires high suspicion and repeated X-rays for diagnosis. Prompt antibiotic therapy effectively alleviates pain in children.

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    Area of Science:

    • Pediatric Orthopedics
    • Infectious Diseases
    • Radiology

    Background:

    • Intractable low back pain in children frequently stems from disc space infections.
    • Early symptoms may precede definitive radiographic evidence.

    Purpose of the Study:

    • To present the clinical presentation, diagnostic workup, and treatment of pediatric disc space infections.
    • To highlight diagnostic challenges and effective management strategies.

    Main Methods:

    • Case series review of four children with intractable low back pain.
    • Clinical evaluation, serial radiography, and response to antibiotic therapy were assessed.

    Main Results:

    • Symptoms often preceded radiographic findings, necessitating high clinical suspicion and repeated X-rays.

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  • Percutaneous biopsies and myelography were not consistently helpful.
  • Antibiotic therapy led to a rapid decrease in pain.

    • Conclusions:

    • Disc space infections are a significant cause of pediatric low back pain.
    • Early diagnosis relies on clinical suspicion and serial imaging.
    • Antibiotics are the cornerstone of effective treatment.