RESUMEN
We report the case of a 6 year old patient who started with abdominal pain and left sciatica, which did not improve after applying symptomatic treatment. A complete analytical and imaging study was performed, which showed a lesion in left S1 corresponding to Garrè's chronic diffuse sclerosing osteomyelitis. The diagnosis was confirmed by biopsy of the lesion. Treatment was established with corticosteroids and anti-inflammatory drugs, obtaining a clinical improvement, although in the follow-up imaging tests 2 years after the onset of the symptoms, the lesion persists but with a significant reduction in its size.
Asunto(s)
Osteomielitis/diagnóstico , Sacro/patología , Enfermedades de la Columna Vertebral/diagnóstico , Niño , Enfermedad Crónica , Humanos , Masculino , EsclerosisRESUMEN
Presentamos el caso de un paciente de 6 años, que comenzó con dolor abdominal y ciatalgia izquierda sin mejoría después de aplicar un tratamiento sintomático. El estudio analítico completo y de imagen realizado mostró una lesión en S1 izquierda correspondiente a osteomielitis esclerosante crónica de Garrè, confirmando el diagnóstico mediante biopsia de la lesión. Se instauró tratamiento con corticoides y antiinflamatorio, que consiguen una remisión parcial de los síntomas, y en las pruebas de imagen realizadas 2 años después del inicio de los síntomas persiste la lesión, aunque con una disminución significativa de su tamaño (AU)
We report the case of a 6 year old patient who started with abdominal pain and left sciatica, which did not improve after applying symptomatic treatment. A complete analytical and imaging study was performed, which showed a lesion in left S1 corresponding to Garrès chronic diffuse sclerosing osteomyelitis. The diagnosis was confirmed by biopsy of the lesion. Treatment was established with corticosteroids and anti-inflammatory drugs, obtaining a clinical improvement, although in the follow-up imaging tests 2 years after the onset of the symptoms, the lesion persists but with a significant reduction in its size (AU)