Odontoid osteomyelitis in children: illustrative case reports and review of the literature
Zimmermann, PetraInfectious Diseases Unit, University Children’s Hospital, Berne, Switzerland - Infectious Diseases Unit, The Royal Children’s Hospital Melbourne, Parkville, Victoria, Australia - Department of Medicine, University of Fribourg, Switzerland
Ritz, NicoleInfectious Diseases Unit and Paediatric Pharmacology, University of Basel Children’s Hospital Basel, Basel, Switzerland - Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia
Stranzinger, EnnoDepartment of Diagnostic, Interventional and Paediatric Radiology, University Children’s Hospital, Berne, Switzerland
2016
Published in:
The Pediatric Infectious Disease Journal. - 2016, vol. 35, no. 8, p. 920–923
English
Odontoid osteomyelitis is a rare disease which is frequently misdiagnosed as torticollis, leading to a delay in diagnosis. We present 2 illustrative cases and a systematic literature review summarizing previously reported cases. Odontoid osteomyelitis should be considered in children presenting with decreased head movements and with elevated erythrocyte sedimentation rate, particularly without improvement while receiving antiinflammatory treatment. Plain radiographs can be misleading, and magnetic resonance imaging should be performed for better visualization.