[Discitis in childhood: integrated neuroradiological imaging in diagnosis and follow-up study of one case].
Discitis is an inflammatory disease of the intervertebral disc which has usually a benign evolution in childhood. It often recognizes an infectious etiology. Still discussed however is the possibility of a primitive discal involvement (not secondary to a vertebral inflammation) or of a non infectious etiology and the subsequent more correct diagnostic-therapeutic procedures. We report a case of a girl with discitis diagnosed early and treated with antibiotics and orthopedic corset, whose follow-up shows a benign evolution. We underline the importance of modern neuroradiological imaging: in particular, MR plays a major role in the inflammatory diseases of the column, both in diagnosis and in follow-up. MR scans of the involved disc allow frequent controls without radiogenic risks and with a good resolution because of the multiplanarity typical of the method.
Giuffrè
M
M
Istituto di Pediatria, Università degli Studi, Palermo.
Amato
G M
GM
Manfrè
L
L
Morello
A
A
D000890:Anti-Infective Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002439:Cefotaxime / Q000008:administration & dosage / Q000031:analogs & derivatives / Q000627:therapeutic use; D002511:Cephalosporins / Q000008:administration & dosage / Q000627:therapeutic use; D002648:Child; D002939:Ciprofloxacin / Q000008:administration & dosage / Q000627:therapeutic use; D015299:Discitis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D005260:Female; D006801:Humans; D008161:Lumbosacral Region / Q000473:pathology; D008279:Magnetic Resonance Imaging; D017334:Teicoplanin / Q000008:administration & dosage / Q000627:therapeutic use
D000890:Anti-Infective Agents; D002511:Cephalosporins; D002939:Ciprofloxacin; D017334:Teicoplanin; D002439:Cefotaxime; C033356:cefodizime