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 CASE REPORT
Year : 2020  |  Volume : 68  |  Issue : 6  |  Page : 1456--1458

Large Spinal Abscess in a Neonate


1 Department of Pediatric Surgery, AIIMS, Bhubaneswar, Odisha, India
2 Department of Orthopedics, AIIMS, Bhubaneswar, Odisha, India
3 Department of Trauma and Emergency (Anesthesia), AIIMS, Bhubaneswar, Odisha, India

Correspondence Address:
Dr. Mantu Jain
106, Mahadev Orchid, Cosmopolis Road, Dumduma, Bhubaneswar, Odisha - 751019
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.304112

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Spontaneous spinal epidural abscess is rare entity in neonates. These are surgical emergency in which early diagnosis and prompt decompression is necessary to avoid permanent cord damage. The diagnosis is based on clinical findings of paraplegia supported by radiological findings on an MRI. We found a large extra spinal abscess in an infant that on further evaluation showed a communicating epidural component, yet the baby was neurologically intact. The abscess was drained in emergency with clearance of epidural component and appropriate antibiotics instituted for Streptococcus pyogenes as per sensitivity. The patient is doing well at 6 months follow up.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow