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Titolo:
Spinal epidural abscesses in children: A 15-year experience and review of the literature
Autore:
Auletta, JJ; John, CC;
Indirizzi:
Case Western Reserve Univ, Rainbow Babies & Childrens Hosp, Sch Med, Dept Pediat,Div Infect Dis, Cleveland, OH 44106 USA Case Western Reserve Univ Cleveland OH USA 44106 Cleveland, OH 44106 USA
Titolo Testata:
CLINICAL INFECTIOUS DISEASES
fascicolo: 1, volume: 32, anno: 2001,
pagine: 9 - 16
SICI:
1058-4838(20010101)32:1<9:SEAICA>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
RESISTANT STAPHYLOCOCCUS-AUREUS; GROUP-B STREPTOCOCCUS; METHICILLIN-RESISTANT; VERTEBRAL OSTEOMYELITIS; RISK-FACTORS; INFECTIONS; MANAGEMENT; DISEASE; DIAGNOSIS; HOST;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
59
Recensione:
Indirizzi per estratti:
Indirizzo: Auletta, JJ Case Western Reserve Univ, Rainbow Babies & Childrens Hosp, Sch Med, Dept Pediat,Div Infect Dis, 11100 Euclid Ave, Cleveland, OH 44106 USA Case Western Reserve Univ 11100 Euclid Ave Cleveland OH USA 44106
Citazione:
J.J. Auletta e C.C. John, "Spinal epidural abscesses in children: A 15-year experience and review of the literature", CLIN INF D, 32(1), 2001, pp. 9-16

Abstract

We reviewed medical records and laboratory and diagnostic evaluations for 8 pediatric patients with spinal epidural abscesses who were treated duringthe last 15 years at our institution. Staphylococcus aureus was isolated from 5 of 8 epidural abscesses, including 2 abscesses with methicillin-resistant S. aureus. Unusual isolates were group B Streptococcus in a patient with chronic vesicouretral reflux associated with the posterior urethral valves and Aspergillus flavus in a patient with acute myelogenous leukemia. An analysis incorporating our results and a review of the English-language literature about abscesses in children and adults revealed differences relatedto age. Abscesses in children were more posterior in epidural location, had greater spinal column extension, and were associated with more favorable clinical outcomes than were abscesses in adults. Magnetic resonance imagingis the diagnostic procedure of choice; however, radionuclide bone scans should be considered for associated distant osteomyelitis in children. Promptdiagnosis and combined medical and surgical treatment remain the cornerstones for the prevention of adverse outcomes.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 11:29:49