作者: Rebecca Houston , Christina Gagliardo , Sheryl Vassallo , Peter J. Wynne , Catherine A. Mazzola
DOI: 10.1016/J.WNEU.2019.01.294
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摘要: Background Spinal epidural abscess (SEA) is a rare but serious infection in the space along spinal cord. SEA should be considered patients with backache, fever, neurological deficits and/or tenderness. Early diagnosis imperative to prevent permanent sequelae. Case Description We report case of lumbar 13-year-old girl who was immunocompetent and presented tenderness, back pain 4 days fever. A magnetic resonance imaging demonstrated an from L3-S1. She had emergent surgical intervention. Cultures grew methicillin-susceptible Staphylococcus aureus. also given long-term systemic antibiotics she made complete recovery within 2 months. Conclusions pediatric without risk factors extremely condition. In English-language literature, there are only 30 reported cases past 19 years; our brings total 31. Non-surgical treatment has been successful both adult under certain conditions. Still, exists deterioration non-surgical management, even for whom begun absence neurologic deficits. Tracking children can challenging, particularly young non-verbal not yet ambulating, reliable examination critical component care. consideration these facts accelerated time frame deterioration, once present, surgery plus remains standard care patients, each individual meriting review full clinical picture.