title: Spinal intradural abscess caused by hematogenous spread of Prevotella oralis in a 3-year-old child with an asymptomatic congenital spinal abnormality.
abstract: METHODS
  Case Report.
  
  
  OBJECTIVE
  To report a case of spinal intradural abscess caused by hematogenous spread of Prevotella oralis and discuss the treatment.
  
  
  METHODS
  Department of Neurosurgery, Ankara Education and Research Hospital, Ankara, Turkey.
  
  
  METHODS
  We report a 3-year-old child with progressive paraparesis who was diagnosed with an intradural spinal abscess, epidermoid cyst and dermal sinus. The patient was treated surgically followed by antimicrobial treatment.
  
  
  RESULTS
  Intraoperative abscess culture was positive for Prevotella oralis, which has not been reported before as a single isolate in literature. The patient's neurologic status was significantly improved after surgical treatment.
  
  
  CONCLUSIONS
  Prophylactic antimicrobial therapies should cover the anaerobic bacteria in spinal intradural abscess. Surgical decompression with laminectomy and duraplasty may be warranted to achieve immediate neurologic improvement in such cases.
authors.affiliation: Department of Neurosurgery, Ankara Education and Research Hospital, Ankara, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Karatay
authors.affiliation: Department of Neurosurgery, Selcuk University, School of Medicine, Konya, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Koktekir
authors.affiliation: Department of Neurosurgery, Ankara Education and Research Hospital, Ankara, Turkey.
authors.forename: H
authors.initials: H
authors.lastname: Celik
authors.affiliation: Department of Neurosurgery, Ankara Education and Research Hospital, Ankara, Turkey.
authors.forename: Y
authors.initials: Y
authors.lastname: Erdem
authors.affiliation: Department of Neurosurgery, Ankara Education and Research Hospital, Ankara, Turkey.
authors.forename: I
authors.initials: I
authors.lastname: Sertbas
authors.affiliation: Department of Neurosurgery, Ankara Education and Research Hospital, Ankara, Turkey.
authors.forename: M A
authors.initials: MA
authors.lastname: Bayar
mesh_terms: D016866:Bacteroidaceae Infections / Q000150:complications*; D002675:Child, Preschool; D019299:Decompression, Surgical; D020802:Epidural Abscess / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007796:Laminectomy; D008297:Male; D018720:Prevotella / Q000472:pathogenicity*; D013122:Spinal Diseases / Q000503:physiopathology*