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The Diagnosis and Management of Pediatric Spine Infections. | LitMetric

AI Article Synopsis

  • * Diagnosis typically relies on clinical history, exams, lab tests, and imaging, but conditions that look like infections may require more invasive procedures like biopsies.
  • * While many spinal infections in children can be treated with antibiotics, some severe cases need surgical intervention, emphasizing the importance of quick and accurate diagnosis for effective treatment.

Article Abstract

The management of pediatric spine infections requires a multidisciplinary approach that includes orthopedic surgeons, infectious disease specialists, interventional radiologists, and others. The prevalence of the disease has increased in frequency, virulence, and degree of soft tissue involvement over the past several years; there has also been a resurgence of some types of infections, such as tuberculosis, fungal, and viral pathogens. The diagnosis can often be reached with a detailed history, physical examination, laboratory tests, and imaging studies. Pathologies mimicking infection require a more invasive approach for diagnosis, including core or open biopsy. The treatment of discitis, spondylodiscitis, vertebral osteomyelitis, spinal epidural, and intramedullary abscesses in children is at times complex, and although many infections can be treated non-surgically with antibiotic therapy, some more extensive infections require surgical management. A timely diagnosis is important as it allows the initiation of the appropriate antimicrobial therapy and would decrease the complexity of the subsequent surgical intervention.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8323075PMC
http://dx.doi.org/10.7759/cureus.16748DOI Listing

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