title: Discitis following lumbar puncture in non-Hodgkin lymphoma.
abstract: Discitis in children is a rare disorder of intervertebral disc and vertebral end plate. Infection or trauma, like lumbar puncture, may be the possible causes. Low-back pain and gait disturbance are the main symptoms. The most appropriate diagnostic procedure is MRI. Treatment is mainly empirical. Here a case with non-Hodgkin lymphoma is discussed. Treatment consisted of strict bed rest and antibiotics. Safe and sterile technique is important in patients with invasive procedures like intrathecal chemotherapy. Although discitis is a self-healing condition, it might cause vertebral osteomyelitis. In this regard, physicians should be aware of this probable complication after lumbar puncture and manage it earlier in children with cancer.
authors.affiliation: Department of Pediatric Oncology, Hacettepe University, Institute of Oncology, 06100 Ankara, Turkey. nalanyaz@yahoo.com
authors.forename: Nalan
authors.initials: N
authors.lastname: Yazici
authors.forename: Bilgehan
authors.initials: B
authors.lastname: Yalçin
authors.forename: Ayşenur
authors.initials: A
authors.lastname: Cila
authors.forename: Ahmet
authors.initials: A
authors.lastname: Alnay
authors.forename: Münevver
authors.initials: M
authors.lastname: Büyükpamukçu
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use; D015299:Discitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D007278:Injections, Spinal / Q000009:adverse effects; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis* / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000175:diagnosis* / Q000188:drug therapy; D012074:Remission Induction; D013129:Spinal Puncture / Q000009:adverse effects*
chemical_list: D000900:Anti-Bacterial Agents