Spinal Intradural Escherichia coli Abscess Masquerading as a Neoplasm in a Pediatric Patient with History of Neonatal E. coli Meningitis: A Case Report and Literature Review

Autor: Joshua E. Simon, Stephen J. Johans, Loren Riedy, Miri Kim, Douglas E. Anderson, Kevin Swong, Kamran M. Mirza
Rok vydání: 2019
Předmět:
medicine.medical_specialty
Delayed Diagnosis
Meningitis
Escherichia coli
medicine.drug_class
Antibiotics
Population
Neuroimaging
Diagnosis
Differential
Lesion
03 medical and health sciences
0302 clinical medicine
Adrenal Cortex Hormones
Biopsy
medicine
Humans
Abscess
education
Escherichia coli Infections
Physical Therapy Modalities
education.field_of_study
Spinal Neoplasms
medicine.diagnostic_test
business.industry
Infant
Newborn
Laminectomy
Decompression
Surgical
medicine.disease
Combined Modality Therapy
Magnetic Resonance Imaging
Syringomyelia
Anti-Bacterial Agents
Surgery
Spinal cord tumor
Epidural Abscess
030220 oncology & carcinogenesis
Disease Progression
Drainage
Neurology (clinical)
Presentation (obstetrics)
medicine.symptom
business
Spinal Cord Compression
Meningitis
030217 neurology & neurosurgery
Zdroj: World Neurosurgery. 126:619-623
ISSN: 1878-8750
Popis: Background Central nervous system abscesses frequently can be seen in the immunocompromised population and most commonly consist of intracranial collections in the adult patient. Spinal intradural abscesses are less commonly encountered, and there are even fewer numbers in the pediatric population with a concordant absence of documentation in the published literature. Case Description In this case report, we describe the presentation of a 2-year-old boy with a history of perinatal Escherichia coli meningitis at 2.5 months of age who was found to have an intradural spinal lesion, initially concerning for neoplasm, but later confirmed as an E. coli abscess following biopsy. He was managed with surgical aspiration of the abscess and a long course of intravenous antibiotics. The patient was treated with antibiotics with repeat imaging studies that revealed residual abscess that required re-aspiration at a later date. Conclusions Here we present an unusual disease process with an unusual disease pathogenesis in a pediatric patient currently residing in a developed country.
Databáze: OpenAIRE
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