title: Extensive spondylodiscitis with epidural abscess causing fever and lower limbs pain in a child with sickle cell disease.
abstract: Spondylodiscitis is an unusual diagnosis among children and consequent abscess formation is even rarer. A 6-year-old girl with fever, hip pain, and refusal to walk was evaluated. The neurologic examination was normal. Recurrent joint pain with cold weather, iron for anemia without improvement, and decreased intervertebral spaces raised the use of ceftriaxone, oxacillin, and external immobilization. Hemoglobin sickle cell disease, spondylodiscitis with paravertebral collections, and epidural abscess were documented. She was fully recovered. The treatment was conservative because there was no neurologic deficit. We add to the literature 1 case of spondylodiscitis with epidural abscess that was successfully treated with antibiotics alone.
authors.affiliation: Department of Paediatrics, University Hospital, Federal University of Bahia, Salvador, Bahia, Brazil.
authors.forename: André Henrique
authors.initials: AH
authors.lastname: Lott-Duarte
authors.forename: Luciano
authors.initials: L
authors.lastname: Dourado
authors.forename: Meire
authors.initials: M
authors.lastname: Tostes
authors.forename: Cristiana M
authors.initials: CM
authors.lastname: Nascimento-Carvalho
mesh_terms: D000755:Anemia, Sickle Cell / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002443:Ceftriaxone / Q000008:administration & dosage; D002648:Child; D015299:Discitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D020802:Epidural Abscess / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000000981:diagnostic imaging; D010068:Oxacillin / Q000008:administration & dosage; D010146:Pain / Q000150:complications* / Q000000981:diagnostic imaging; D059408:Pain Management; D011859:Radiography; D012074:Remission Induction
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone; D010068:Oxacillin