title: Back pain in a previously healthy teenager.
abstract: We present the case of a 14-year-old previously healthy boy who presented to his general practitioner with back pain and fever after rugby training. He was initially treated for suspected discitis but during the course of his admission he rapidly deteriorated and developed severe necrotising pneumonia. He was intubated, ventilated and transferred to a paediatric intensive care unit. Panton-Valentine leukocidin Staphylococcus aureus was suspected and subsequently identified in blood cultures.
authors.affiliation: Department of Paediatrics, North Middlesex University Hospital NHS Trust, London, UK. Flicfitzgerald@hotmail.com
authors.forename: Felicity
authors.initials: F
authors.lastname: Fitzgerald
authors.forename: Julia
authors.initials: J
authors.lastname: Howard
authors.forename: Fiona
authors.initials: F
authors.lastname: Bailey
authors.forename: Sorrush
authors.initials: S
authors.lastname: Soleimanian
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001416:Back Pain / Q000382:microbiology*; D003937:Diagnosis, Differential; D015299:Discitis / Q000175:diagnosis / Q000382:microbiology; D006801:Humans; D008297:Male; D011023:Pneumonia, Staphylococcal / Q000175:diagnosis* / Q000628:therapy; D012121:Respiration, Artificial
chemical_list: D000900:Anti-Bacterial Agents