Tubercular epidural abscess in children: report of two cases.
Tubercular spinal epidural abscess (SEA) is an uncommon infectious occurrence. SEA was first described in 1761. Clinical prospects of tubercular SEA are graver, if not promptly diagnosed and treated appropriately. We present two cases of spinal epidural abscess of tubercular etiology who progressed to paraplegia over the course of disease. MRI pointed towards an epidural abscess in the dorsal spine. Histopathological analysis revealed SEA, tubercular in nature in both cases. Patients responded to surgical decompression and anti-tubercular therapy (ATT). Such type of clinical entities has least been documented.
Kumar
Ashok
A
Department of Orthopaedics, Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sewagram, Wardha, Maharashtra. akbortho@yahoo.com
Singh
Alok Kumar
AK
Badole
C M
CM
Patond
K R
KR
D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use; D002675:Child, Preschool; D020802:Epidural Abscess / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D010264:Paraplegia / Q000382:microbiology; D014399:Tuberculosis, Spinal / Q000175:diagnosis* / Q000628:therapy
D000995:Antitubercular Agents