ArticleCureus2024
Discitis Mimicking Septic Arthritis in a 17-Month-Old Boy.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Discitis in children is uncommon, typically occurring between the ages of two and eight years. The etiology is not established, but it is generally considered a bacterial infection. Symptoms vary with age but commonly include irritability, refusal to walk, and back pain. These various clinical presentations cause delays in diagnosis. We present this case to draw attention and familiarise clinicians with its presentations. A 17-month-old boy presented with a one-week history of refusal to walk. Examination showed an unusual finding of the child keeping his right leg in a flexed position with hip tenderness. Inflammatory markers were raised. Initially, the patient was managed for suspected septic arthritis of the hip joint. Initial tests were inconclusive, and magnetic resonance imaging (MRI) on day 23 revealed discitis at L4-L5. After a course of antibiotics and monitoring of inflammatory markers, his clinical condition improved. The mainstay of treatment is antibiotics, with surgery reserved for complicated cases. Discitis has a good prognosis in children.
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