Journal of the Korean Pediatric Society 1969;12(12):707-714.
Published online December 31, 1969.
Hematogenous Pyogenic Osteomyelitis of the Spine in Children
Chan-Yung Kim1, Yeung-Shin Kwark1, Chong-Dae Cho2, Un-Ho Lee2
1Department of Pediatrics, College of Medicine, Pusan Naticnl University
2Pusan Clinic, The Save the Children Fund
小兒 血行性 化讓性 普推骨髓炎
金贊 榮1, 郭英信1, 趙宗大2, 李銀浩2
1釜山大學校 醫科大學小兒科學敎室
2英聯邦兒童救護財團 益山診療所
Abstract
Three cases of hematogenous pyogenic osteomyelitis of the spine in children (7 months-old female, 3yrs-4 mos-old male and 10 yrs-3 mos-old female) at the attatched clinic of the Save the Children Fund and Pusan Children’s Cherity Hospital has been reported during the period of May, 1965 to May, 1969, with a review of the related literatures. The incidence of hematogenous pyogenic osteomyelitis of the spine, especially in children, has teen known to be relatively rare, and the clinical importance in the differential diagnosis of tuberculosis of the spine is specially emphasized in Korea. Lumbar spine was invaded in two cases and thoracic in one cases as the site of infection. The causative organism was coagulase positive staphylococci in 2 cases and no organism was isolated in one case. In the clinical manifestation initial symptoms, which were systemic fever and toxicity but sign of cord compression such as paralysis was not found. In all 3 cases leucocytosis, elevated E.S.R. and repeated negative Mantoux tests (O.T. or P. P.D.) were resulted. Roentgenograms showed narrowing of the intervertebral space and iroth-eaten appearance of the vertebral bodies. Treatment was done conservatively with antibiotics and bed rest in plaster-cast together with drainage of purculent fluid from the infected lesion.


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