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KMID : 0367419690120120047
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Journal of Korean Pediatric Society
1969 Volume.12 No. 12 p.47 ~ p.53
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Hematogenous Pyogenic Osteomyelitis of the Spine in children
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金贊榮/Kim, Chan-Yung
郭英信/趙宗大/李銀浩/Kwark, Young-Shin/Cho, Chong-Dae/Lee, Un-HO
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Abstract
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Three cases of hematogenous pyogenic osteomyelitis of the spine in children (7 months-old female, 3-yrs-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 &,e period of May, 19(5 to May, 19E9, 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 tuberculoss 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 , tapbylococci 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 moth-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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