RT Journal Article
SR Electronic
T1 A toddler who refused to stand or walk: lumbar spondylodiscitis
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr2012007007
DO 10.1136/bcr-2012-007007
VO 2012
A1 van den Heuvel, Rick
A1 Hertel, Marc
A1 Gallagher, John
A1 Naidoo, Vishal
YR 2012
UL http://casereports.bmj.com/content/2012/bcr-2012-007007.abstract
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.