Adolescent vertebral osteomyelitis mimicking a neoplasm

Abstract

A 14-year-old previously healthy girl presented with atraumatic onset of low back and flank pain and mildly elevated inflammatory markers. Magnetic resonance imaging disclosed an L5 superior endplate fracture, and cultures grew methicillin-susceptible Staphylococcus aureus. We discuss the variable presentations and appropriate treatments of adolescent vertebral osteomyelitis.

Keywords:

• Infection
• pediatric spine
• tumor
• vertebral osteomyelitis