The Pediatric infectious disease journal · 2017
Osteomyelitis of the Odontoid Process in Children: Two Cases and Review of the Literature.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Lubotzky Asael, Cytter-Kuint Ruth, Raccah Eliyahu, Megged Orli
Аннотация
OBJECTIVE: To report clinical, laboratory and radiologic manifestations in 2 infants with osteomyelitis of the odontoid process (dens).
BACKGROUND: Vertebral osteomyelitis is uncommon, and osteomyelitis of the dens has rarely been reported in the pediatric population.
METHODS: The medical records of 2 infants diagnosed with dens osteomyelitis were reviewed.
RESULTS: Both infants had fever, which resolved spontaneously before admission. Both were nontoxic appearing with persistent neck stiffness and torticollis. White blood count and C-reactive protein were only mildly elevated in both cases. Blood cultures were sterile. Magnetic resonance imaging revealed the diagnosis. They both fully recovered.
CONCLUSIONS: We report 2 cases of dens osteomyelitis. These cases emphasize the need to consider C1-C2 osteomyelitis in the differential diagnosis of neck stiffness and torticollis.
BACKGROUND: Vertebral osteomyelitis is uncommon, and osteomyelitis of the dens has rarely been reported in the pediatric population.
METHODS: The medical records of 2 infants diagnosed with dens osteomyelitis were reviewed.
RESULTS: Both infants had fever, which resolved spontaneously before admission. Both were nontoxic appearing with persistent neck stiffness and torticollis. White blood count and C-reactive protein were only mildly elevated in both cases. Blood cultures were sterile. Magnetic resonance imaging revealed the diagnosis. They both fully recovered.
CONCLUSIONS: We report 2 cases of dens osteomyelitis. These cases emphasize the need to consider C1-C2 osteomyelitis in the differential diagnosis of neck stiffness and torticollis.