{"id":"https://openalex.org/W3205874734","doi":"https://doi.org/10.1136/archdischild-2021-europaediatrics.54","title":"54 REFUSAL TO WALK: a case report of spondylodiscitis","display_name":"54 REFUSAL TO WALK: a case report of spondylodiscitis","publication_year":2021,"publication_date":"2021-10-01","ids":{"openalex":"https://openalex.org/W3205874734","doi":"https://doi.org/10.1136/archdischild-2021-europaediatrics.54","mag":"3205874734"},"language":"en","primary_location":{"id":"doi:10.1136/archdischild-2021-europaediatrics.54","doi":"https://doi.org/10.1136/archdischild-2021-europaediatrics.54","is_oa":true,"landing_page_url":"https://doi.org/10.1136/archdischild-2021-europaediatrics.54","pdf_url":"https://adc.bmj.com/content/archdischild/106/Suppl_2/A22.3.full.pdf","source":{"id":"https://openalex.org/S4306500044","display_name":"Abstracts","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Abstracts","raw_type":"proceedings-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://adc.bmj.com/content/archdischild/106/Suppl_2/A22.3.full.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5009785049","display_name":"Sofia Branco","orcid":"https://orcid.org/0000-0002-2867-4950","observed_orcids":["https://orcid.org/0000-0002-2867-4950"]},"institutions":[{"id":"https://openalex.org/I4403386624","display_name":"Centro Hospitalar P\u00f3voa de Varzim Vila do Conde EPE","ror":"https://ror.org/04j6ccm70","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210130719","https://openalex.org/I4403386624"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Sofia Branco","raw_affiliation_strings":["Centro Hospitalar P\u00f3voa de Varzim e Vila do Conde \u2013 Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar P\u00f3voa de Varzim e Vila do Conde \u2013 Portugal","institution_ids":["https://openalex.org/I4403386624"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034009139","display_name":"Joana Lira","orcid":"https://orcid.org/0009-0000-5392-7588","observed_orcids":["https://orcid.org/0009-0000-5392-7588"]},"institutions":[{"id":"https://openalex.org/I4403386624","display_name":"Centro Hospitalar P\u00f3voa de Varzim Vila do Conde EPE","ror":"https://ror.org/04j6ccm70","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210130719","https://openalex.org/I4403386624"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Joana Lira","raw_affiliation_strings":["Centro Hospitalar P\u00f3voa de Varzim e Vila do Conde \u2013 Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar P\u00f3voa de Varzim e Vila do Conde \u2013 Portugal","institution_ids":["https://openalex.org/I4403386624"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028581870","display_name":"Beatriz Vieira","orcid":"https://orcid.org/0000-0002-9747-0839","observed_orcids":["https://orcid.org/0000-0002-9747-0839"]},"institutions":[{"id":"https://openalex.org/I4403386624","display_name":"Centro Hospitalar P\u00f3voa de Varzim Vila do Conde EPE","ror":"https://ror.org/04j6ccm70","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210130719","https://openalex.org/I4403386624"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Beatriz Vieira","raw_affiliation_strings":["Centro Hospitalar P\u00f3voa de Varzim e Vila do Conde \u2013 Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar P\u00f3voa de Varzim e Vila do Conde \u2013 Portugal","institution_ids":["https://openalex.org/I4403386624"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024421754","display_name":"Maria Jos\u00e9 Dinis","orcid":"https://orcid.org/0009-0000-0036-2931","observed_orcids":["https://orcid.org/0009-0000-0036-2931"]},"institutions":[{"id":"https://openalex.org/I4403386624","display_name":"Centro Hospitalar P\u00f3voa de Varzim Vila do Conde EPE","ror":"https://ror.org/04j6ccm70","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210130719","https://openalex.org/I4403386624"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Maria Jos\u00e9 Dinis","raw_affiliation_strings":["Centro Hospitalar P\u00f3voa de Varzim e Vila do Conde \u2013 Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar P\u00f3voa de Varzim e Vila do Conde \u2013 Portugal","institution_ids":["https://openalex.org/I4403386624"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5111083184","display_name":"Concei\u00e7\u00e3o Silva","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4403386624","display_name":"Centro Hospitalar P\u00f3voa de Varzim Vila do Conde EPE","ror":"https://ror.org/04j6ccm70","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210130719","https://openalex.org/I4403386624"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Concei\u00e7\u00e3o Silva","raw_affiliation_strings":["Centro Hospitalar P\u00f3voa de Varzim e Vila do Conde \u2013 Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar P\u00f3voa de Varzim e Vila do Conde \u2013 Portugal","institution_ids":["https://openalex.org/I4403386624"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4403386624"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"A22.3","last_page":"A23"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11381","display_name":"Infectious Diseases and Tuberculosis","score":0.9878000020980835,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11381","display_name":"Infectious Diseases and Tuberculosis","score":0.9878000020980835,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.008299999870359898,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11293","display_name":"Orthopedic Infections and Treatments","score":0.002300000051036477,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/spondylodiscitis","display_name":"spondylodiscitis","score":0.9819999933242798},{"id":"https://openalex.org/keywords/pediatric-spinal-infection","display_name":"pediatric spinal infection","score":0.6209999918937683},{"id":"https://openalex.org/keywords/intervertebral-disc-inflammation","display_name":"intervertebral disc inflammation","score":0.7459999918937683},{"id":"https://openalex.org/keywords/infants","display_name":"infants","score":0.44999998807907104},{"id":"https://openalex.org/keywords/refusal-to-walk","display_name":"refusal to walk","score":0.7570000290870667},{"id":"https://openalex.org/keywords/hip-pain","display_name":"hip pain","score":0.6850000023841858},{"id":"https://openalex.org/keywords/fever","display_name":"fever","score":0.7369999885559082},{"id":"https://openalex.org/keywords/magnetic-resonance-imaging-of-spine","display_name":"magnetic resonance imaging of spine","score":0.6819999814033508},{"id":"https://openalex.org/keywords/ceftriaxone","display_name":"ceftriaxone","score":0.8510000109672546},{"id":"https://openalex.org/keywords/flucloxacillin","display_name":"flucloxacillin","score":0.9449999928474426},{"id":"https://openalex.org/keywords/cefuroxime","display_name":"cefuroxime","score":0.9340000152587891},{"id":"https://openalex.org/keywords/empirical-antibiotic-therapy","display_name":"empirical antibiotic therapy","score":0.6269999742507935}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9057981371879578},{"id":"https://openalex.org/C2777771103","wikidata":"https://www.wikidata.org/wiki/Q7578955","display_name":"Spondylodiscitis","level":2,"score":0.8673716187477112},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.3228278160095215},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3216722011566162},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.16727042198181152},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1136/archdischild-2021-europaediatrics.54","doi":"https://doi.org/10.1136/archdischild-2021-europaediatrics.54","is_oa":true,"landing_page_url":"https://doi.org/10.1136/archdischild-2021-europaediatrics.54","pdf_url":"https://adc.bmj.com/content/archdischild/106/Suppl_2/A22.3.full.pdf","source":{"id":"https://openalex.org/S4306500044","display_name":"Abstracts","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Abstracts","raw_type":"proceedings-article"}],"best_oa_location":{"id":"doi:10.1136/archdischild-2021-europaediatrics.54","doi":"https://doi.org/10.1136/archdischild-2021-europaediatrics.54","is_oa":true,"landing_page_url":"https://doi.org/10.1136/archdischild-2021-europaediatrics.54","pdf_url":"https://adc.bmj.com/content/archdischild/106/Suppl_2/A22.3.full.pdf","source":{"id":"https://openalex.org/S4306500044","display_name":"Abstracts","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Abstracts","raw_type":"proceedings-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3205874734.pdf","grobid_xml":"https://content.openalex.org/works/W3205874734.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2522915225","https://openalex.org/W4300501482","https://openalex.org/W2069692811","https://openalex.org/W7024702208","https://openalex.org/W4389908528","https://openalex.org/W2024832844","https://openalex.org/W2996282917","https://openalex.org/W2028483822","https://openalex.org/W1976456246","https://openalex.org/W4393111500"],"abstract_inverted_index":{"Introduction":[0],"Inflammation":[1],"of":[2,55,70,103,109,126,147,238,307,313,333,347,363],"the":[3,37,59,71,119,127,137,148,155,168,236,243,253,265,314,348,354,364,367],"intervertebral":[4,159,349],"disc":[5,160,315,350],"and":[6,22,43,63,97,105,118,130,158,176,182,198,202,229,242,269,291,317,328],"vertebral":[7,156],"bodies":[8,157],"is":[9,335,366,374],"uncommon":[10],"in":[11,36,154,252,259,351],"children.":[12],"The":[13,68,111,134,276,324,344],"diagnosis":[14,373],"can":[15],"be":[16],"challenging":[17],"due":[18],"to":[19,41,46,141,189,280,286,356,376],"non-specific":[20],"signs":[21],"symptoms.":[23],"Case":[24],"Report":[25],"A":[26,82],"12":[27],"month-old":[28],"previously":[29],"healthy":[30],"female":[31],"child":[32,138,244,325,339],"presented":[33],"with":[34,163,172,179,289,320,341],"pain":[35],"right":[38],"hip,":[39],"refusal":[40],"walk,":[42],"fever":[44],"(up":[45],"38.6\u00b0C)":[47],"for":[48,79,219,226,231,293,370],"five":[49],"days.":[50],"There":[51,309],"was":[52,61,74,77,116,122,132,139,184,267,284,326],"no":[53,321],"history":[54],"trauma.":[56],"On":[57],"admission,":[58],"infant":[60,266],"febrile":[62],"had":[64],"a":[65,100,106,164,205,214,257,298,338,378],"limping":[66],"gait.":[67],"remainder":[69],"physical":[72],"examination":[73],"normal.":[75,133,281],"She":[76],"hospitalized":[78],"further":[80],"investigation.":[81],"complete":[83,305],"blood":[84,89,197,212],"count":[85,108],"revealed":[86],"10880":[87],"white":[88],"cells/\u00b5L":[90],"(52%":[91],"neutrophils,":[92],"34%":[93],"lymphocytes,":[94],"2%":[95],"eosinophils":[96],"10%":[98],"monocytes),":[99],"haemoglobin":[101],"level":[102],"10,2g/dL,":[104],"platelet":[107],"452000/\u00b5L.":[110],"erythrocyte":[112],"sedimentation":[113],"rate":[114],"(ESR)":[115],"73mm/hour":[117],"C-reactive":[120],"protein":[121],"2,74":[123],"mg/dL.":[124],"Radiography":[125],"lower":[128],"limbs":[129],"pelvis":[131],"following":[135],"day,":[136],"unable":[140],"sit.":[142],"Magnetic":[143,360],"resonance":[144,361],"imaging":[145,362],"(MRI)":[146],"spine":[149,365],"showed":[150,256,304],"an":[151,191,208,301],"abnormal":[152],"signal":[153,166,260],"at":[161],"L4-L5,":[162],"high":[165],"on":[167],"STIR":[169],"image,":[170],"compatible":[171],"spondylodiscitis.":[173,308],"Bed":[174],"rest":[175],"empirical":[177],"treatment":[178,288],"intravenous":[180],"ceftriaxone":[181],"flucloxacillin":[183,292],"started.":[185],"Diagnostic":[186],"tests":[187],"performed":[188,251],"detect":[190],"infectious":[192],"cause":[193],"were":[194,310],"negative,":[195],"including":[196],"stool":[199],"cultures,":[200],"Wright\u2019s":[201],"Widal\u2019s":[203],"tests,":[204],"Mantoux":[206],"test,":[207,213],"Interferon-Gamma":[209],"Release":[210],"Assays":[211],"Polymerase":[215],"Chain":[216],"Reaction":[217],"test":[218],"Mycobacterium":[220],"tuberculosis":[221],"from":[222],"gastric":[223],"washings,":[224],"staining":[225],"acid-fast":[227],"bacilli,":[228],"cultures":[230],"mycobacteria.":[232],"One":[233],"week":[234,255],"later,":[235],"levels":[237],"inflammatory":[239,277],"markers":[240,278],"decreased":[241],"improved":[245],"clinically.":[246],"An":[247],"additional":[248],"MRI":[249,302],"study":[250,303],"second":[254],"reduction":[258],"alterations.":[261],"After":[262],"four":[263,295],"weeks,":[264],"siting":[268],"walking":[270,342],"again":[271],"without":[272],"difficulty":[273],"or":[274],"pain.":[275],"returned":[279],"Intravenous":[282],"therapy":[283],"switched":[285],"oral":[287],"cefuroxime":[290],"another":[294],"weeks.":[296],"At":[297],"follow-up":[299],"visit,":[300],"resolution":[306],"residual":[311],"abnormalities":[312],"space":[316],"L4/L5":[318],"vertebrae,":[319],"functional":[322],"significance.":[323],"asymptomatic":[327],"behaving":[329],"normally.":[330],"Conclusion":[331],"Suspicion":[332],"spondylodiscitis":[334],"important":[336,375],"when":[337],"presents":[340],"difficulties.":[343],"vascular":[345],"nature":[346],"children":[352],"explains":[353],"predisposition":[355],"this":[357],"rare":[358],"condition.":[359],"gold":[368],"standard":[369],"diagnosis.":[371],"Early":[372],"ensure":[377],"favourable":[379],"outcome.":[380]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2021-10-25T00:00:00"}