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Barbara E. Magera, MD, PharmD; Sarah G. Klein, MD; C. Warren Derrick, Jr, MD; Beverly P. Wood, MD

Am J Dis Child. 1989;143(12):1479-1480.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A 2-year-old white boy was seen by his pediatrician because of increasing irritability and unsteady gait. Three months prior to admission the youngster had fallen down a flight of stairs without apparent injury. Several days prior to admission, the child experienced progressive low back pain and stiffness.

The boy's medical history was remarkable for multiple episodes of otitis media and upper respiratory tract infections requiring medical therapy. The patient completed a 10-day course of antibiotic therapy as recently as 1 month prior to injury.

On admission, the patient was afebrile and the results of the physical examination were normal except for a wide-base gait and pronounced lumbar lordosis. Admission laboratory values were as follows: white blood cell count, 13x10⁹/L, with 0.70 polymorphonuclear leukocytes; hemoglobin level, 116 g/L; hematocrit value, 0.33; platelet count, 504 x 10⁹/L; erythrocyte sedimentation rate (Westergren), 13 . . . [Full Text PDF of this Article]

Author Affiliations
Contributed from the Departments of Internal Medicine (Dr Magera), Radiology (Dr Klein), and Pediatrics (Dr Derrick), University of South Carolina School of Medicine, Richland Memorial Hospital, Columbia.

Footnotes
Accepted for publication December 22, 1988.

Reprint requests to Department of Radiology, University of Rochester Medical Center, 601 Elmwood Ave, PO Box 648, Rochester, NY 14642 (Dr Wood).

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