Spontaneous spinal epidural abscess in a 21-month-old child
| Autor: | Tyler J. Harris, Jason P. Seamon |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Neck pain Epidural abscess business.industry General surgery Extremity weakness Infant General Medicine Emergency department medicine.disease Spinal epidural abscess Magnetic Resonance Imaging Spinal Cord Diseases Surgery Epidural Abscess Streptococcal Infections Emergency Medicine medicine Humans Physical exam Presentation (obstetrics) medicine.symptom business Pediatric population |
| Zdroj: | The American journal of emergency medicine. 32(12) |
| ISSN: | 1532-8171 |
| Popis: | Spontaneous epidural abscess formation is a rare finding in all populations and even more so in the pediatric population. Its rarity and varied presentations often lead to misdiagnosis. We present a pediatric case in which the diagnosis of spontaneous spinal epidural abscess was missed upon initial presentation and subsequently identified at a later visit to the emergency department. Literature suggests utilizing three simple physical exam findings that may improve the first visit diagnosis of spontaneous epidural abscesses in children. Findings of any two of the following signs should guide the clinician to consider SEA as a possibility prior to discharge: fever, back or neck pain, extremity weakness or inability to walk. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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