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  • Title: Spinal epidural abscess in a young girl without risk factors.
    Author: Mantadakis E, Birbilis T, Michailidis L, Souftas V, Chatzimichael A.
    Journal: Eur J Pediatr; 2011 Jul; 170(7):945-8. PubMed ID: 21360025.
    Abstract:
    Spinal epidural abscess (SEA) is a rare infection associated with well-established risk factors mainly in adults. We describe an 11-year-old girl without any known risk factors who presented with fever and localized spinal tenderness in the lumbar area and was diagnosed with spinal MRI as suffering from a posterior SEA extending between T11 and L4. She was successfully managed with sequential intravenous and oral antibiotics along with minimally invasive surgery without laminectomy. Methicillin-sensitive Staphylococcus aureus was the responsible pathogen isolated at surgery. Immediate institution of antibiotics, spinal MRI, and well-timed neurosurgical consultation are mandatory for a favorable outcome in cases of SEA in children.
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