Spinal epidural abscess in a young girl without risk factors
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Elpis Mantadakis & Theodosios Birbilis & Lambros Michailidis & Vasileios Souftas & Athanassios Chatzimichael
- چاپ و سال / کشور: 2011
Description
Spinal epidural abscess (SEA) is a rare infection associated with well-established risk factors mainly in adults. We describe an 11-year-old girl without any known risk factors who presented with fever and localized spinal tenderness in the lumbar area and was diagnosed with spinal MRI as suffering from a posterior SEA extending between T11 and L4. She was successfully managed with sequential intravenous and oral antibiotics along with minimally invasive surgery without laminectomy. Methicillin-sensitive Staphylococcus aureus was the responsible pathogen isolated at surgery. Immediate institution of antibiotics, spinal MRI, and well-timed neurosurgical consultation are mandatory for a favorable outcome in cases of SEA in children.
Eur J Pediatr (2011) 170:945–948 DOI 10.1007/s00431-011-1437-2 Received: 20 January 2011 / Accepted: 15 February 2011 / Published online: 1 March 2011
