Paediatric Cervical Osteomyelitis With an Atypical Presentation: A Case Report and Literature Review
Amal Halim Salib Hanna1, Shafiya Jahan Mohamed Tajuddin2, Jasmine Churms3
1Paediatrics, Mid and South Essex NHS Foundation Trust, Basildon, GBR.
Insights
Pediatric cervical osteomyelitis, a rare condition, can present with varied symptoms like neck spasms. Prompt diagnosis and multidisciplinary management are crucial for a full recovery in children.
Area of Science:
- Pediatric Infectious Diseases
- Pediatric Orthopedics
- Pediatric Radiology
Background:
- Cervical osteomyelitis is a rare pediatric condition.
- Diagnosis is challenging due to non-specific symptoms.
- Early symptoms can include neck spasms, fever, and lymphadenitis.
Abstract:
Cervical osteomyelitis is an uncommon condition in children. Diagnosis can prove difficult due to non-specific symptoms. We describe a case of paediatric cervical osteomyelitis that initially manifested with neck spasms, later progressing to fever and lymphadenitis, illustrating the variable clinical course of the condition. Investigations showed elevated inflammatory markers. The initial blood culture was reported as a contaminant, with subsequent blood cultures remaining negative. Magnetic resonance imaging (MRI) confirmed the diagnosis of cervical osteomyelitis at the C3-C4 level. The patient required prolonged intravenous (IV) antibiotics for 16 weeks due to persistent symptoms and MRI findings. Management was guided by a Multidisciplinary Team (MDT). The patient made a full recovery without any residual complications. This case highlights the importance of timely diagnosis and appropriate management for a favourable prognosis in children with cervical osteomyelitis.
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