What is
Diskitis?
Diskitis is an inflammation, irritation, and swelling of the
intervertebral disk space (the space between the bones of the
spine).
What are its symptoms?
Cited below are some of the symptoms of diskitis:-
* Fever
* Back pain
* Stiffness in back
* Increased lordosis
* Abdominal pain
How is it caused?
Diskitis is an uncommon condition, which is usually seen in
children younger than age 10 years. It can be caused by a
bacterial or viral infection or other inflammatory processes, such
as auto-immune diseases (conditions in which the immune system
mistakenly attacks certain cells in the body). The thoracic (upper
back) and lumbar (low back) disks are most commonly affected.
Affected children may have a low-grade fever (less than 102
degrees Fahrenheit), back pain and stiffness, and abdominal pain.
If they walk, it is with increased curvature of the back and they
may have difficulty getting up and standing.
Young children are generally irritable and uncomfortable and may
refuse to sit up, stand or walk. The refusal to walk is often
misinterpreted by the parents as being related to a lower limb
injury. Diskitis can also be confused with problems related to hip
pain.
How is it diagnosed?
Following are the tests used to diagnose the condition:
* X-ray of the lumbosacral spine (may show narrow disk space or
abnormalities of the vertebral bodies)
* MRI of the spine (may show inflammation of the disk space)
Bone scan (usually shows increased uptake in the region of
inflammation)
* CBC (shows elevated white blood cells)
* ESR (elevated, test for inflammation)
How can it be treated?
The goal is to treat the cause of the inflammation and reduce
pain. Anti-staphylococcal antibiotics may be given in cases of
suspected infections. Auto-immune diseases are often treated with
anti-inflammatory medications.
Discitis osteomyelitis with cord compression
Discitis and vertebral
osteomyelitis are rare in children
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