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Case Reports
. 2024 May-Jun;38(3):432-437.
doi: 10.1016/j.pedhc.2023.12.005. Epub 2024 Jan 3.

An Uncommon Cause of Nocturnal Crying and Discomfort: A Case of a 15-month-old Girl With Spondylodiscitis

Lotje A Hoogervorst, Janne L Punski-Hoogervorst, Amoe Baktash, Danielle M C Brinkman, Pieter Bas de Witte
Free article
Case Reports

An Uncommon Cause of Nocturnal Crying and Discomfort: A Case of a 15-month-old Girl With Spondylodiscitis

Lotje A Hoogervorst et al. J Pediatr Health Care. 2024 May-Jun.
Free article

Abstract

Nocturnal crying in toddlers has a broad spectrum of causes, including psychosocial and somatic causes, whereby the majority are self-limiting and do not need referral to specialist medical care. Although uncommon, atypical presentations of nocturnal crying-such as spondylodiscitis-require referral to specialist medical care, especially when combined with discomfort. In this case report, we present a case of a 15-month-old girl with an atypical presentation of nocturnal crying in combination with back pain.

Keywords: Nocturnal crying; infectious diseases; pediatrics; spondylodiscitis.

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Conflict of interest statement

Conflicts of interest None to report. The authors would like to thank the patients’ parents for providing their consent for this case report. The authors would also like to thank M. Reijnierse, A.J. van der Molen, V. Fejzovic, B. Boekestijn, D.A.W. Eijspaart, Y. Tank, J.L. Bloem (Department of Radiology, Leiden University Medical Centre) and L.F. de Geus-Oei (Department of Nuclear Medicine, Leiden University Medical Centre) for their radiological assessments.

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