Interspinous Bursitis due to Staphylococcus aureus in an Adolescent
Abstract
Background Interspinous bursitis is exceptionally rare in children, contrasting with degenerative forms in adults. Case Presentation A 16‐year‐old male presented with acute severe low back pain, fever (39°C), and focal L3‐L5 tenderness. CRP was 233 mg/L; blood cultures grew methicillin‐susceptible Staphylococcus aureus . Imaging progression (US, CT‐scan, MRI, PET‐CT) confirmed L3‐L4 interspinous bursitis without bone/disc involvement, distinguishing it from spondylodiscitis. Management Cefazolin IV (10 days) followed by oral ciprofloxacin (4 weeks), a lumbar brace, and rehabilitation yielded complete recovery. Conclusions Pediatric interspinous bursitis presents as febrile back pain via hematogenous dissemination. MRI is diagnostic, excluding spondylodiscitis. Conservative management with early antibiotic switch is effective when imaging excludes bone/disc involvement. This case highlights distinguishing features and optimal management of this rare pediatric entity.
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BibTeX
@article{fore2026interspinous,
title = {{Interspinous Bursitis due to Staphylococcus aureus in an Adolescent}},
author = {Florine Foré and Yasmine Lamrous and Antoine Delval and Audrey Vanrenterghem and Djamal Djeddi},
journal = {Case Reports in Pediatrics},
year = {2026},
month = sep,
doi = {10.1155/crpe/7740167},
url = {https://u-picardie.hal.science/hal-05762975v1},
note = {CC BY},
}
RIS
TY - JOUR
TI - Interspinous Bursitis due to Staphylococcus aureus in an Adolescent
AU - Florine Foré
AU - Yasmine Lamrous
AU - Antoine Delval
AU - Audrey Vanrenterghem
AU - Djamal Djeddi
PY - 2026
DA - 2026/09/16
JO - Case Reports in Pediatrics
DO - 10.1155/crpe/7740167
UR - https://u-picardie.hal.science/hal-05762975v1
AB - Background Interspinous bursitis is exceptionally rare in children, contrasting with degenerative forms in adults. Case Presentation A 16‐year‐old male presented with acute severe low back pain, fever (39°C), and focal L3‐L5 tenderness. CRP was 233 mg/L; blood cultures grew methicillin‐susceptible Staphylococcus aureus . Imaging progression (US, CT‐scan, MRI, PET‐CT) confirmed L3‐L4 interspinous bursitis without bone/disc involvement, distinguishing it from spondylodiscitis. Management Cefazolin IV (10 days) followed by oral ciprofloxacin (4 weeks), a lumbar brace, and rehabilitation yielded complete recovery. Conclusions Pediatric interspinous bursitis presents as febrile back pain via hematogenous dissemination. MRI is diagnostic, excluding spondylodiscitis. Conservative management with early antibiotic switch is effective when imaging excludes bone/disc involvement. This case highlights distinguishing features and optimal management of this rare pediatric entity.
SN - 2090-6803
SN - 2090-6811
ER -