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Acta Orthop Belg ; 70(6): 627-31, 2004 Dec.
Article in English | MEDLINE | ID: mdl-15669470

ABSTRACT

Two boys presenting with reluctance to sit straight and stand were diagnosed with spondylodiscitis of the lumbar spine. After confirmation of the diagnosis on plain radiographs, computed tomography and magnetic resonance imaging, they were successfully treated with antibiotics and in one case a lumbar orthosis. The use of magnetic resonance imaging is discussed and compared to the other radiological techniques. Magnetic resonance imaging seems to be the most sensitive and specific imaging technique used in the diagnostic process of spondylodiscitis. Computed tomography and technetium bone scan both play a specific part in the process of diagnosis and follow-up.


Subject(s)
Anti-Bacterial Agents , Discitis/diagnosis , Discitis/drug therapy , Drug Therapy, Combination/therapeutic use , Gram-Positive Bacterial Infections/drug therapy , Lumbar Vertebrae , Magnetic Resonance Imaging , Discitis/microbiology , Enterococcus faecalis/isolation & purification , Follow-Up Studies , Gram-Positive Bacterial Infections/diagnosis , Humans , Infant , Infusions, Intravenous , Male , Risk Assessment , Severity of Illness Index , Tomography, X-Ray Computed , Treatment Outcome
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