PT  - JOURNAL ARTICLE
AU  - Rick van den Heuvel
AU  - Marc Hertel
AU  - John Gallagher
AU  - Vishal Naidoo
TI  - A toddler who refused to stand or walk: lumbar spondylodiscitis
AID  - 10.1136/bcr-2012-007007
DP  - 2012 Dec 10
TA  - BMJ Case Reports
PG  - bcr2012007007
VI  - 2012
4099  - http://casereports.bmj.com/content/2012/bcr-2012-007007.short
4100  - http://casereports.bmj.com/content/2012/bcr-2012-007007.full
AB  - A young mother presented her 19-month-old boy to the general practitioner (GP) with a 24 h history of reluctance to stand or walk and a slightly raised temperature. The GP arranged an assessment by the paediatrician, who organised an ultrasound of the hips which was normal. Approximately 1 week later the patient became constipated as well, was seen again by another GP but no cause was found. Another week later mother consulted the initial GP again as the boy had not shown any signs of improvement and had become more irritable. The GP arranged a review by the paediatrician and MRI scans of the hips and back were performed. These scans showed normal hips but lumbar spine changes suggestive of a spondylodiscitic event. The patient was treated with intravenous antibiotics, a corset and analgesia and made an excellent recovery.