• Eur. J. Pediatr. · Jul 2011

    Case Reports

    Spinal epidural abscess in a young girl without risk factors.

    • Elpis Mantadakis, Theodosios Birbilis, Lambros Michailidis, Vasileios Souftas, and Athanassios Chatzimichael.
    • Department of Pediatrics, Democritus University of Thrace Medical School and University General Hospital of Alexandroupolis, Thrace, Greece. emantada@med.duth.gr
    • Eur. J. Pediatr. 2011 Jul 1; 170 (7): 945-8.

    AbstractSpinal 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.

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