Pediatric Spinal Epidural Abscess: A Case Report of a 12-year-old Girl Without Risk Factors

A 12-year-old girl presented with a spinal epidural abscess (SEA), an unusual emergent infectious disease that often requires surgical intervention. Its nonspecific symptoms and rarity in pediatric patients frequently delay the diagnosis until neurologic symptoms develop. This patient had only fever...

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Detalles Bibliográficos
Autores principales: Sugawara, Ryo, Kikkawa, Ichiro, Watanabe, Hideaki, Hiyama, Shuhei, Kikuchi, Yutaka, Takeshita, Katsushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6484672/
https://www.ncbi.nlm.nih.gov/pubmed/31157318
http://dx.doi.org/10.5435/JAAOSGlobal-D-18-00066
Descripción
Sumario:A 12-year-old girl presented with a spinal epidural abscess (SEA), an unusual emergent infectious disease that often requires surgical intervention. Its nonspecific symptoms and rarity in pediatric patients frequently delay the diagnosis until neurologic symptoms develop. This patient had only fever without back pain or neurologic symptoms at the first visit. Whole-body CT later diagnosed a SEA, which was treated by antibiotics only. No neurologic deterioration was observed, and the fever and now-present pain gradually diminished. Early diagnosis of a SEA is important to avoid the development of symptoms. Despite its irradiation to the patient, CT might be useful for providing an early diagnosis in the absence of neurologic symptoms.

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