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Sonographic diagnosis of spondylodiscitis in a young child

Michalle Soudack1,2,3, Hadar-Yafit Shimoni4, Simyon Plotkin5

  • 1Division of Diagnostic Imaging, Sheba Medical Center, Derech Sheba 2, Ramat Gan, Israel, 5266202. michalle.soudack@sheba.health.gov.il.

Pediatric Radiology
|April 9, 2024
PubMed

Insights

This study details the first English description of diagnosing spondylodiscitis (discitis-osteomyelitis) using ultrasound in a child. This imaging technique offers a valuable tool for pediatric radiologists and sonographers.

Area of Science:

  • Pediatric Radiology
  • Diagnostic Imaging
  • Musculoskeletal Infections

Background:

  • Spondylodiscitis, or discitis-osteomyelitis, is an infection affecting the intervertebral disc and vertebrae.
  • The standard imaging modality for diagnosis is spinal magnetic resonance imaging (MRI).
  • Early diagnosis is crucial for effective management and preventing complications in children.

Observation:

  • A 21-month-old girl presented with an altered gait, prompting investigation.
  • Sonography was employed, revealing features consistent with spondylodiscitis.
  • This represents the first documented case of sonographic diagnosis of spondylodiscitis in English literature.

Findings:

  • Ultrasound successfully identified spondylodiscitis in a pediatric patient.
  • The sonographic findings correlated with the clinical presentation of altered gait.
  • This case highlights the potential of ultrasound as a diagnostic tool.

Implications:

  • Pediatric radiologists and sonographers should be aware of sonographic features of spondylodiscitis.
  • Ultrasound may serve as an effective method for both incidental and intentional diagnosis of pediatric spondylodiscitis.
  • Familiarity with sonographic diagnosis can lead to earlier detection and treatment of this condition.

Keywords:
ChildrenDiagnostic imagingInfectionsSpineSpondylodiscitisUltrasound

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