PEDIATRICS Vol. 62 No. 4 October 1978, pp. 549-553
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Vertebral Osteomyelitis in Children: Report of Four Cases

Ricardo Bolivar M.D.1, Steve Kohl M.D.1, and Larry K. Pickering M.D.1

1 Program in Infectious Diseases and Clinical Microbiology and the Department of Pediatrics, University of Texas Medical School at Houston

Four children had vertebral osteomyelitis due to Staphylococcus aureus. Abdominal signs and fever were frequent clinical manifestations. Back pain was an uncommon symptom except as a late manifestation in one patient. The portal of entry of the organism generally was not apparent. Location of infection was in the lower thoracic and lumbar spine. Diagnosis was based on roentgenographic changes, radionuclide imaging, and bacteriologic corroboration. We conclude that symptoms and signs of vertebral osteomyelitis in children can be atypical and that a diligent attempt to rapidly diagnose and promptly treat this condition will prevent orthopedic and neurotogic sequelae.

Submitted on December 27, 1977
Accepted on March 21, 1978




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