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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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
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author Sugawara, Ryo
Kikkawa, Ichiro
Watanabe, Hideaki
Hiyama, Shuhei
Kikuchi, Yutaka
Takeshita, Katsushi
author_facet Sugawara, Ryo
Kikkawa, Ichiro
Watanabe, Hideaki
Hiyama, Shuhei
Kikuchi, Yutaka
Takeshita, Katsushi
author_sort Sugawara, Ryo
collection PubMed
description 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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spelling pubmed-64846722019-05-29 Pediatric Spinal Epidural Abscess: A Case Report of a 12-year-old Girl Without Risk Factors Sugawara, Ryo Kikkawa, Ichiro Watanabe, Hideaki Hiyama, Shuhei Kikuchi, Yutaka Takeshita, Katsushi J Am Acad Orthop Surg Glob Res Rev Case Report 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. Wolters Kluwer 2019-03-05 /pmc/articles/PMC6484672/ /pubmed/31157318 http://dx.doi.org/10.5435/JAAOSGlobal-D-18-00066 Text en Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Sugawara, Ryo
Kikkawa, Ichiro
Watanabe, Hideaki
Hiyama, Shuhei
Kikuchi, Yutaka
Takeshita, Katsushi
Pediatric Spinal Epidural Abscess: A Case Report of a 12-year-old Girl Without Risk Factors
title Pediatric Spinal Epidural Abscess: A Case Report of a 12-year-old Girl Without Risk Factors
title_full Pediatric Spinal Epidural Abscess: A Case Report of a 12-year-old Girl Without Risk Factors
title_fullStr Pediatric Spinal Epidural Abscess: A Case Report of a 12-year-old Girl Without Risk Factors
title_full_unstemmed Pediatric Spinal Epidural Abscess: A Case Report of a 12-year-old Girl Without Risk Factors
title_short Pediatric Spinal Epidural Abscess: A Case Report of a 12-year-old Girl Without Risk Factors
title_sort pediatric spinal epidural abscess: a case report of a 12-year-old girl without risk factors
topic Case Report
url 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
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