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Erschienen in: European Journal of Pediatrics 7/2011

01.07.2011 | Short Report

Spinal epidural abscess in a young girl without risk factors

verfasst von: Elpis Mantadakis, Theodosios Birbilis, Lambros Michailidis, Vasileios Souftas, Athanassios Chatzimichael

Erschienen in: European Journal of Pediatrics | Ausgabe 7/2011

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Abstract

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.
Literatur
1.
Zurück zum Zitat Auletta JJ, John CJ (2001) Spinal epidural abscesses in children: a 15-year experience and review of the literature. Clin Infect Dis 32:9–16PubMedCrossRef Auletta JJ, John CJ (2001) Spinal epidural abscesses in children: a 15-year experience and review of the literature. Clin Infect Dis 32:9–16PubMedCrossRef
2.
3.
Zurück zum Zitat Bock SA, Sickler D, Chhabra OP (1976) Spinal epidural abscess in a five-week-old infant. A problem in diagnosis. Clin Pediatr (Phila) 15:286–287CrossRef Bock SA, Sickler D, Chhabra OP (1976) Spinal epidural abscess in a five-week-old infant. A problem in diagnosis. Clin Pediatr (Phila) 15:286–287CrossRef
4.
Zurück zum Zitat Chao D, Nanda A (2002) Spinal epidural abscess: a diagnostic challenge. Am Fam Physician 65:1341–1346PubMed Chao D, Nanda A (2002) Spinal epidural abscess: a diagnostic challenge. Am Fam Physician 65:1341–1346PubMed
5.
Zurück zum Zitat Curry WT Jr, Hoh BL, Amin-Hanjani S, Eskandar EN (2005) Spinal epidural abscess: clinical presentation, management, and outcome. Surg Neurol 63:364–371PubMedCrossRef Curry WT Jr, Hoh BL, Amin-Hanjani S, Eskandar EN (2005) Spinal epidural abscess: clinical presentation, management, and outcome. Surg Neurol 63:364–371PubMedCrossRef
7.
Zurück zum Zitat Flikweert ER, Postema RR, Briel JW, Lequin MH, Hazebroek FW (2002) Spinal epidural abscess presenting with abdominal pain. Eur J Pediatr Surg 12:141–143PubMedCrossRef Flikweert ER, Postema RR, Briel JW, Lequin MH, Hazebroek FW (2002) Spinal epidural abscess presenting with abdominal pain. Eur J Pediatr Surg 12:141–143PubMedCrossRef
8.
Zurück zum Zitat Hlavin ML, Kaminski HJ, Ross JS (1990) Spinal epidural abscess: a ten-year perspective. Neurosurgery 27:177–184PubMedCrossRef Hlavin ML, Kaminski HJ, Ross JS (1990) Spinal epidural abscess: a ten-year perspective. Neurosurgery 27:177–184PubMedCrossRef
9.
Zurück zum Zitat Kowalski TJ, Layton KF, Berbari EF, Steckelberg JM, Huddleston PM, Wald JT (2007) Follow-up MR imaging in patients with pyogenic spineinfections: lack of correlation with clinical features. Am J Neuroradiol 28:693–699PubMed Kowalski TJ, Layton KF, Berbari EF, Steckelberg JM, Huddleston PM, Wald JT (2007) Follow-up MR imaging in patients with pyogenic spineinfections: lack of correlation with clinical features. Am J Neuroradiol 28:693–699PubMed
10.
Zurück zum Zitat Lott-Duarte AH, Dourado L, Tostes M, Nascimento-Carvalho CM (2008) Extensive spondylodiscitis with epidural abscess causing fever and lower limbs pain in a child with sickle cell disease. J Pediatr Hematol/Oncol 30:70–72CrossRef Lott-Duarte AH, Dourado L, Tostes M, Nascimento-Carvalho CM (2008) Extensive spondylodiscitis with epidural abscess causing fever and lower limbs pain in a child with sickle cell disease. J Pediatr Hematol/Oncol 30:70–72CrossRef
11.
Zurück zum Zitat Mackenzie AR, Laing RB, Smith CC, Kaar GF, Smith FW (1998) Spinal epidural abscess: the importance of early diagnosis and treatment. J Neurol Neurosurg Psychiatry 65:209–212PubMedCrossRef Mackenzie AR, Laing RB, Smith CC, Kaar GF, Smith FW (1998) Spinal epidural abscess: the importance of early diagnosis and treatment. J Neurol Neurosurg Psychiatry 65:209–212PubMedCrossRef
12.
Zurück zum Zitat Nussbaum ES, Rigamonti D, Standiford H (1992) Spinal epidural abscess: a report of 40 cases and review. Surg Neurol 38:225–231PubMedCrossRef Nussbaum ES, Rigamonti D, Standiford H (1992) Spinal epidural abscess: a report of 40 cases and review. Surg Neurol 38:225–231PubMedCrossRef
13.
Zurück zum Zitat Reihsaus E, Waldbaur H, Seeling W (2000) Spinal epidural abscess: a meta-analysis of 915 patients. Neurosurg Rev 23:175–204PubMedCrossRef Reihsaus E, Waldbaur H, Seeling W (2000) Spinal epidural abscess: a meta-analysis of 915 patients. Neurosurg Rev 23:175–204PubMedCrossRef
14.
Zurück zum Zitat Rubin G, Michowiz SD, Ashkenasi A, Tadmor R, Rappaport ZH (1993) Spinal epidural abscess in the pediatric age group: case report and review of literature. Pediatr Infect Dis J 12:1007–1011PubMedCrossRef Rubin G, Michowiz SD, Ashkenasi A, Tadmor R, Rappaport ZH (1993) Spinal epidural abscess in the pediatric age group: case report and review of literature. Pediatr Infect Dis J 12:1007–1011PubMedCrossRef
15.
Zurück zum Zitat Sarubbi FA, Vasquez JE (1997) Spinal epidural abscess associated with the use of temporary epidural catheters: report of two cases and review. Clin Infect Dis 25:1155–1158PubMedCrossRef Sarubbi FA, Vasquez JE (1997) Spinal epidural abscess associated with the use of temporary epidural catheters: report of two cases and review. Clin Infect Dis 25:1155–1158PubMedCrossRef
16.
Zurück zum Zitat Sendi P, Bregenzer T, Zimmerli W (2008) Spinal epidural abscess in clinical practice. QJM 101:1–12PubMedCrossRef Sendi P, Bregenzer T, Zimmerli W (2008) Spinal epidural abscess in clinical practice. QJM 101:1–12PubMedCrossRef
17.
Zurück zum Zitat Smith AP, Musacchio MJ, O’Toole JE (2008) Spinal epidural abscess associated with infliximab treatment for psoriatic arthritis. Case report. J Neurosurg Spine 9:261–264PubMedCrossRef Smith AP, Musacchio MJ, O’Toole JE (2008) Spinal epidural abscess associated with infliximab treatment for psoriatic arthritis. Case report. J Neurosurg Spine 9:261–264PubMedCrossRef
18.
Zurück zum Zitat Soehle M, Wallenfang T (2002) Spinal epidural abscesses: clinical manifestations, prognostic factors, and outcomes. Neurosurgery 51:79–85PubMedCrossRef Soehle M, Wallenfang T (2002) Spinal epidural abscesses: clinical manifestations, prognostic factors, and outcomes. Neurosurgery 51:79–85PubMedCrossRef
19.
Zurück zum Zitat Strafford MA, Wilder RT, Berde CB (1995) The risk of infection from epidural analgesia in children: a review of 1620 cases. Anesth Analg 80:234–238PubMed Strafford MA, Wilder RT, Berde CB (1995) The risk of infection from epidural analgesia in children: a review of 1620 cases. Anesth Analg 80:234–238PubMed
20.
Zurück zum Zitat Wheeler D, Keiser P, Rigamonti D, Keay S (1992) Medical management of spinal epidural abscesses: case report and review. Clin Infect Dis 15:22–27PubMedCrossRef Wheeler D, Keiser P, Rigamonti D, Keay S (1992) Medical management of spinal epidural abscesses: case report and review. Clin Infect Dis 15:22–27PubMedCrossRef
Metadaten
Titel
Spinal epidural abscess in a young girl without risk factors
verfasst von
Elpis Mantadakis
Theodosios Birbilis
Lambros Michailidis
Vasileios Souftas
Athanassios Chatzimichael
Publikationsdatum
01.07.2011
Verlag
Springer-Verlag
Erschienen in
European Journal of Pediatrics / Ausgabe 7/2011
Print ISSN: 0340-6199
Elektronische ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-011-1437-2

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