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Archivos argentinos de pediatría

Print version ISSN 0325-0075On-line version ISSN 1668-3501


PONS, Mauricio; PEREZ, Leila  and  JUAREZ, Facundo. Pediatric case report: Spinal epidural abscess. Arch. argent. pediatr. [online]. 2017, vol.115, n.3, pp.e146-e149. ISSN 0325-0075.

Spinal epidural abscess is an uncommon pathology. It has an incidence of one case per 100 000 individuals. An increase is observed due to the raise of risk factors such as diabetes mellitus, spinal abnormalities, tattoos, acupuncture, epidural analgesia, and a greater availability of imaging methods. It is a purulent collection located between the dura and the medullary canal. The most common germs are Staphylococcus aureus and Gram-negative bacteria. Without timely treatment, it evolves to medullary compression and permanent neurological sequelae. An 11-year-old girl was admitted with fever of 48 hs evolution, left lower back pain, antalgic gait with lumbar stiffness. Neurological examination was normal. Blunt blistering lesions were observed on lower limbs. Magnetic resonance imaging showed an image compatible with spinal epidural abscess. The evolutionwas favorable. Treatment consisted of surgical drainage and antibiotics for 6 weeks. From the culture of the material obtained, methidllin-sensitive Staphylococcus aureus was isolated.

Keywords : Epidural abscess; Pediatrics.

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