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Spinal Abscess Revealed By Spastic Paraplegia in a 15-Month-Old Infant: About an Observation

The intramedullary abscess is an exceptional localization. It often poses a diagnostic problem. MRI is highly needed, and allows for early diagnosis. The authors report an observation of a 15-month-old infant admitted for motor deficiency of the lower limbs of progressive installation in a febrile context and in whom clinical examination has found spastic paraplegia, kyphosis of the dorsal spine with slight hyperchromic swelling surrounded by a pilosity facing the T3-T4 dermatomes that suggest a dermal sinus. Medullary MRI shows a pseudo-tumor process and a tract that communicates the medullary space to the skin. A neurosurgical procedure was performed and confirmed the existence of the dermal sinus communicating the skin to the medullary space through a cord; as well as an intramedullary abscess which was drained and whose culture isolated Staphylococcus aureus. After surgery and antibiotic therapy, the evolution was satisfactory with a partial recovery of the muscular force.

Auteur(s) : Alioune Badara Thiam, Marcellin Bugeme, Laîla Belarabi, Aboubakar Nahantchi,Olivier Mukuku,Kamadore Touré,Salahedine Mourabit, Moustapha Ndiaye and Mo
Pages : 00216
Année de publication : 2017
Revue : MOJ Clin Med Case Rep
N° de volume : 7(5):
Type : Article
Mise en ligne par : THIAM Alioune Badara