title: [Case report: a 5-year-old girl with spinal, epidural empyema - an uncommon but successful therapy performed by anaesthetists in Malawi].
abstract: A five-year-old girl suffering from sepsis and acute paraplegia was diagnosed with spinal epidural empyema due to a superinfected tuberculous osteomyelitis of a vertebra. In the absence of a neurosurgeon the anaesthetists opted for an epidural procedure. To this effect they aspirated, drained and irrigated the epidural space on several levels via epidural Tuohy cannulas - followed by an antibiotic instillation.
authors.affiliation: gipi.bc62@yahoo.de
authors.forename: Gregor
authors.initials: G
authors.lastname: Pollach
authors.forename: Siegfried
authors.initials: S
authors.lastname: Gresser
mesh_terms: D000776:Anesthesiology; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000995:Antitubercular Agents / Q000008:administration & dosage; D002443:Ceftriaxone / Q000008:administration & dosage; D002675:Child, Preschool; D003906:Developing Countries; D003937:Diagnosis, Differential; D004630:Emergencies; D004653:Empyema / Q000175:diagnosis* / Q000601:surgery*; D020802:Epidural Abscess / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008295:Malawi; D010348:Patient Care Team; D012008:Recurrence; D012017:Referral and Consultation; D012086:Reoperation; D018805:Sepsis / Q000175:diagnosis* / Q000601:surgery*; D013117:Spinal Cord Compression / Q000175:diagnosis* / Q000601:surgery*; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000601:surgery*; D013396:Suction / Q000379:methods*; D015163:Superinfection / Q000175:diagnosis* / Q000601:surgery*; D007507:Therapeutic Irrigation; D013904:Thoracic Vertebrae; D014399:Tuberculosis, Spinal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents; D000995:Antitubercular Agents; D002443:Ceftriaxone