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Pyogenic Vertebral Body Osteomyelitis in a Child: A Case Report
Sitanshu Barik1, P Venkata Sudhakar1, Shobha S Arora1
1Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Journal of Orthopaedic Case Reports
|September 21, 2020
Summary
Pyogenic vertebral body osteomyelitis is rare in children. This case highlights successful conservative management with antibiotics for a 10-year-old boy, showing complete recovery without long-term effects.
Area of Science:
- Pediatric Infectious Diseases
- Pediatric Orthopedics
- Pediatric Radiology
Background:
- Pyogenic vertebral body osteomyelitis (PVBO) is uncommon in pediatric populations.
- This report details a rare case of PVBO in a 10-year-old male.
Observation:
- The patient presented with insidious onset lower back pain radiating to the right hip, limp, and restricted mobility.
- Physical examination revealed lumbar spine tenderness and right hip pseudoflexion deformity.
- Blood cultures identified methicillin-sensitive Staphylococcus aureus, and imaging confirmed L4 vertebral body enhancement.
Findings:
- Conservative management with antibiotics, guided by antibiogram, was effective.
- The patient experienced a complete recovery with no symptoms or activity limitations at 12-month follow-up.
Implications:
- PVBO should be considered in pediatric patients with atypical spinal or hip symptoms.
- Magnetic Resonance Imaging (MRI) is crucial for diagnosis, and prompt antibiotic therapy ensures favorable outcomes without sequelae.
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