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Childhood diskitis: computed tomographic findings.

D J Sartoris, P S Moskowitz, R A Kaufman

    Radiology
    |December 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

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    Computed tomography (CT) effectively visualizes childhood discitis, revealing paravertebral masses and epidural extension. CT aids in diagnosing atypical cases and differentiating discitis from other serious conditions like neoplasms.

    Area of Science:

    • Pediatric Radiology
    • Medical Imaging
    • Infectious Diseases

    Background:

    • Childhood discitis, an infection of the intervertebral disc space, presents diagnostic challenges.
    • Plain radiography may show non-specific findings in early or atypical cases.

    Observation:

    • Computed tomography (CT) was performed on seven children diagnosed with discitis.
    • CT imaging revealed key findings including paravertebral inflammatory masses (7/7), epidural extension with thecal sac deformity (6/7), and psoas abscess (1/7).

    Findings:

    • CT confirmed plain radiographic findings of disk space narrowing and vertebral end-plate destruction in all patients.
    • Follow-up CT demonstrated persistent bone destruction even after clinical and soft-tissue inflammation resolution.
    • CT proved valuable in diagnosing early and atypical presentations of childhood discitis.

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    Implications:

    • The CT spectrum of childhood discitis can mimic other conditions such as neoplasm, tuberculosis, and disc herniation.
    • While not routine for typical cases, CT is crucial for atypical presentations or non-specific radiographs.
    • CT assists in excluding alternative diagnoses in patients unresponsive to standard treatment.