Bolivar R, Kohl S, Pickering L K
Pediatrics. 1978 Oct;62(4):549-53.
Four children had vertebral osteomyelitis due to Staphylococcus aureus. Abdominal signs and fever were frequent clinical manifestations. Back pain was an uncommon symptom except as a late manifestation in one patient. The portal of entry of the organism generally was not apparent. Location of infection was in the lower thoracic and lumbar spine. Diagnosis was based on roentgenographic changes, radionuclide imaging, and bacteriologic corroboration. We conclude that symptoms and signs of vertebral osteomyelitis in children can be atypical and that a diligent attempt to rapidly diagnose and promptly treat this condition will prevent orthopedic and neurologic sequelae.
四名儿童患有由金黄色葡萄球菌引起的脊椎骨髓炎。腹部体征和发热是常见的临床表现。背痛是一种不常见的症状，只有一名患者在后期出现。病菌的感染途径通常不明显。感染部位在胸腰椎下段。诊断基于X线片改变、放射性核素成像和细菌学证实。我们得出结论，儿童脊椎骨髓炎的症状和体征可能不典型，积极努力快速诊断并及时治疗这种疾病将预防骨科和神经后遗症。
