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BMJ Case Reports 2013; doi:10.1136/bcr.09.2011.4796
  • CASE REPORT

A special case of lower back pain in a 3-year-old girl

  1. Giovanni Tani
  1. Paediatric Departement, S.Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
  1. Correspondence to Dr Davide Tassinari, davide.tassinari{at}aosp.bo.it

Summary

We describe the case of a 3-year-old girl with a 15-day clinical history of lower back pain. We diagnosed a spondylodiscitis of vertebral bodies L5–S1 caused by Salmonella species group B that totally recovered with appropriate antibiotic therapy. Spondylodiscitis in children is a rare condition and Salmonella infection is one of the rarest aetiology. A high index of suspicion is needed for prompt diagnosis to ensure better long-term outcome. Microbiological diagnosis is essential for the appropriate choice of antibiotic treatment.

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