Vertebral collapse in an 8-year-old girl.
We present a case of an 8-year-old girl with collapse of her T6 and T7 vertebrae secondary to chronic recurrent multifocal osteomyelitis. She presented with chronic abdominal pain and was found to have multiple bony lesions involving her spine, clavicle and mandible. Extensive investigations, including tissue biopsy, were unable to identify an infective cause and there was no response to a prolonged course of intravenous antibiotics. She made a good response to regular non-steroidal anti-inflammatory medication.
Walls
Tony
T
Department of Immunology and Infectious Diseases, Great Ormond Street Hospital for Children, London, United Kingdom. wallst@gosh.nhs.uk
Bate
Jessica
J
Moshal
Karyn
K
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002648:Child; D002908:Chronic Disease; D002968:Clavicle / Q000503:physiopathology; D005260:Female; D006801:Humans; D007403:Intervertebral Disc / Q000503:physiopathology*; D008334:Mandible / Q000503:physiopathology; D010019:Osteomyelitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013131:Spine / Q000503:physiopathology; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal