Scurvy as a mimicker of osteomyelitis in a child with autism spectrum disorder

Abstract

A case of scurvy in a 10-year-old boy with autism spectrum disorder is described. His clinical presentation was initially thought to be due to osteomyelitis, for which empirical antimicrobial therapy was initiated. Further invasive and ultimately unnecessary investigations were avoided when scurvy was considered in the context of a restricted diet and classic signs of vitamin C deficiency. Infectious diseases specialists should be aware of scurvy as an important mimicker of osteoarticular infections when involved in the care of patients at risk of nutritional deficiencies. Keywords: Scurvy, Autism spectrum disorder, Osteomyelitis, Micronutrient deficiency, Osteoarticular infections