Absceso epidural espinal resuelto con tratamiento médico

Barbadillo Izquierdo, F.; Merino Arribas, J.M.; Carpintero Martín, I.; Rodrigo Palacios, J.; González de la Rosa, J.B.

doi:10.1016/S1695-4033(01)78677-8

Anales de Pediatría (English Edition)

ISSN: 2341-2879

The Spanish Pediatric Association (Asociación Española de Pediatría, AEP) has as one of its main objectives the dissemination of rigorous and up-to-date scientific information on the various areas of pediatrics. Annals of Pediatrics is an open access journal that serves as the Association's Scientific Expression Organ and constitutes the vehicle through which members communicate. Annals of Pediatrics publishes, in English and Spanish, original research papers on pediatrics, as well as review articles prepared by experts in each specialty, and guidelines or positioning documents prepared by the different Societies/Specialized Sections integrated into the Spanish Pediatric Association. The journal, a reference for Spanish-speaking pediatrics, is indexed in the most important international databases: Index Medicus/Medline IBECS, IME, SCOPUS, Science Citation Index Expanded, Journal Citations Report, Embase/Excerpta Medica, Directory of Open Access Journals (DOAJ).

Indexed in:

Index Medicus/Medline IBECS, IME, SCOPUS, Science Citation Index Expanded, Journal Citations Report, Embase/Excerpta Medica, Directory of Open Access Journals (DOAJ)

El absceso epidural espinal es una entidad rara en el niño. Se presenta el caso de una niña de 5 años con osteomielitis vertebral y absceso epidural espinal. El diagnóstico se realizó por resonancia magnética y gammagrafía con 99mTc-HMDP. Se realizó tratamiento con cefotaxima (200 mg/kg/día) y cloxacilina (200 mg/kg/día) por vía intravenosa durante 15 días seguidos de cloxacilina oral (100 mg/kg/día) con buena evolución clínica.

Palabras clave:

Absceso epidural espinal

Niños

Tratamiento médico

Osteomielitis vertebral

Spinal epidural abscess is rare in children. We describe the case of a 5-year-old girl with vertebral osteomyelitis and spinal epidural abscess. Diagnosis was made by magnetic resonance imaging and scintigraphic study with HMDP-99Tc. Treatment with intravenous cefotaxime (200 mg/kg/day) and cloxacillin (200 mg/kg/day) for 15 days followed by oral cloxacillin (100 mg/kg/day) for a further 15 days produced a satisfactory clinical outcome.

Key words:

Spinal epidural abscess

Children

Medical treatment

Vertebral osteomyelitis

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