Holocord spinal epidural abscess.
Spinal epidural abscess is rare in infants and leads to major permanent neurological deficits if the condition is left untreated. Holocord epidural abscess is extremely rare. We report a patient with methicillin-resistant Staphylococcus aureus septicemia presenting with pneumonia, retroperitoneal abscess, and epidural abscess. A 7-month-old previously healthy girl presented with fever, irritability, tachypnea for 4 days and decreased movement of the right lower limb for 1 day. Magnetic resonance imaging of the spine demonstrated an extensive epidural abscess from second cervical to fifth lumbar vertebrae without osteomyelitis or discitis. The epidural abscess was treated with intravenous antibiotics for 6 weeks. At 3 months follow-up, no neurological deficits were present. Only a few case reports of holocord epidural abscess in children have been published. We present a case of conservatively treated holocord spinal abscess in an infant.
Ghosh
Partha Sekhar
PS
Pediatric Hospital Medicine, Cleveland Clinic, Cleveland, Ohio 44195, USA. ghoshp3@ccf.org
Loddenkemper
Tobias
T
Blanco
Manuel Buitrago
MB
Marks
Michelle
M
Sabella
Camille
C
Ghosh
Debabrata
D
D003937:Diagnosis, Differential; D020802:Epidural Abscess / Q000175:diagnosis* / Q000188:drug therapy* / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D011023:Pneumonia, Staphylococcal / Q000188:drug therapy / Q000473:pathology; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000473:pathology; D016896:Treatment Outcome