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                        "paginaInicial" => "9"
                        "paginaFinal" => "13"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8539057"
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                        "link" => array:1 [
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                        "paginaInicial" => "225"
                        "paginaFinal" => "226"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10433605"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spinal epidural abscess-a report of six cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "S&#46; Anand"
                            1 => "L&#46; Maini"
                            2 => "A&#46; Agarwal"
                            3 => "T&#46; Singh"
                            4 => "A&#46;K&#46; Dhal"
                            5 => "B&#46;K&#46; Dhaon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int Orthop"
                        "fecha" => "1999"
                        "volumen" => "23"
                        "paginaInicial" => "175"
                        "paginaFinal" => "177"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10486032"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spinal epidural abscess&#58; the importance of early diagnosis and treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46;R&#46; Mackenzie"
                            1 => "R&#46;B&#46; Laing"
                            2 => "C&#46;C&#46; Smith"
                            3 => "G&#46;F&#46; Kaar"
                            4 => "F&#46;W&#46; Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurol Neurosurg Psychiatry"
                        "fecha" => "1998"
                        "volumen" => "65"
                        "paginaInicial" => "209"
                        "paginaFinal" => "212"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9703173"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The diagnosis of infection of spine by modern imaging thecniques"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "S&#46; Rothman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Orthop Clin North Am"
                        "fecha" => "1996"
                        "volumen" => "27"
                        "paginaInicial" => "15"
                        "paginaFinal" => "31"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8539045"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
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              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The scintigraphic diagnosis of osteomyelitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;S&#46; Schauwecker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/ajr.158.1.1727365"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR"
                        "fecha" => "1992"
                        "volumen" => "158"
                        "paginaInicial" => "9"
                        "paginaFinal" => "18"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1727365"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intraspinal air&#58; a CT finding of epidural abscess"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46; Kirzner"
                            1 => "Y&#46;K&#46; Oh"
                            2 => "S&#46;H&#46; Lee"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/ajr.151.6.1217"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR"
                        "fecha" => "1988"
                        "volumen" => "151"
                        "paginaInicial" => "1217"
                        "paginaFinal" => "1218"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3263775"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Magnetic resonance imaging in the diagnosis of spinal epidural abscess"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Erntell"
                            1 => "S&#46; Holtas"
                            2 => "K&#46; Norlin"
                            3 => "E&#46; Dahlquist"
                            4 => "I&#46; Nelsson-Ehle"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Scand J Infec Dis"
                        "fecha" => "1988"
                        "volumen" => "20"
                        "paginaInicial" => "323"
                        "paginaFinal" => "327"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cervical spinal epidural abscess following acupuncture&#58; successful treatment with antibiotics"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Yazawa"
                            1 => "T&#46; Ohi"
                            2 => "S&#46; Sugimoto"
                            3 => "S&#46; Satoh"
                            4 => "S&#46; Matsukura"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Intern Med"
                        "fecha" => "1998"
                        "volumen" => "37"
                        "paginaInicial" => "161"
                        "paginaFinal" => "165"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9550597"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Non operative treatment of spinal epidural infections"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46;J&#46; Mampalam"
                            1 => "H&#46; Rosegay"
                            2 => "B&#46;T&#46; Andrews"
                            3 => "M&#46;L&#46; Roseblum"
                            4 => "L&#46;H&#46; Pitts"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Neurosurgery"
                        "fecha" => "1989"
                        "volumen" => "71"
                        "paginaInicial" => "721"
                        "paginaFinal" => "729"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medical management of spinal epidural abscesses&#58; case report and review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46; Wheeler"
                            1 => "P&#46; Keiser"
                            2 => "D&#46; Rigamonti"
                            3 => "S&#46; Keay"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Infect Dis"
                        "fecha" => "1992"
                        "volumen" => "15"
                        "paginaInicial" => "22"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1617070"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
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Vol. 54. Núm. 2.
Páginas 185-187 (febrero 2001)
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Vol. 54. Núm. 2.
Páginas 185-187 (febrero 2001)
Acceso a texto completo
Absceso epidural espinal resuelto con tratamiento médico
Successful medical treatment of spinal epidural abscess
Visitas
4804
F. Barbadillo Izquierdo, J.M. Merino Arribas
Autor para correspondencia
jmmerino@hgy.es

Correspondencia: Dr. J.M. Merino Arribas. Hospital General Yagüe. Avda. del Cid, s/n. 09005 Burgos.
, I. Carpintero Martín, J. Rodrigo Palacios, J.B. González de la Rosa
Servicio de Pediatría. Hospital General Yagüe. Burgos
Este artículo ha recibido
Información del artículo

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
El Texto completo está disponible en PDF
Bibliografía
[1.]
F.S. Jacobsen, B. Sullivan.
Spinal epidural abscesses in children.
Orthopedics, 17 (1994), pp. 113-118
[2.]
F.L. Sapico.
Microbiologic and antimicrobial therapy of spinal infection.
Orthop Clin North Am, 27 (1996), pp. 9-13
[3.]
A. Lindner, M. Warmuth-Metz, G. Becker, V.V. Toyka.
Iatrogenic spinal epidural abscesses: early diagnosis essential for good outcome.
Eur J Med Res, 2 (1997), pp. 201-205
[4.]
P. Sillevis-Smitt, A. Tsafka, M. Van den Bent, H. De Bruin, W. Hendriks, C. Vecht, et al.
Spinal epidural abscess complicating chronic epidural analgesia in 11 cancer patients: clinical findings and magnetic resonance imaging.
J Neurol, 246 (1999), pp. 815-820
[5.]
J.K. Lee, J.H. Kim, S.H. Kim, H.W. Kim, T.S. Kim, S. Jung, et al.
Anterior cervical spinal epidural abscess in an infant.
Child Nerv Syst, 15 (1999), pp. 137-139
[6.]
K.A. Liu, J.D. Luhmann.
Spinal epidural abscess in preverbal children: a case report with Currarino triad.
Pediatrics, 104 (1999), pp. 1139-1142
[7.]
D. Rigamonti, L. Liem, P. Sampath, N. Knoller, Y. Narmaguchi, D.L. Schreibman, et al.
Spinal epidural abscess: contemporary trends in etiology, evaluation and management.
Surg Neurol, 52 (1999), pp. 189-196
[8.]
P. Sampath, D. Rigamonti.
Spinal epidural abscess: a review of epidemiology, diagnosis, and treatment.
J Spinal Disord, 12 (1999), pp. 89-93
[9.]
J.E. Roel, L. Fernández, L. Abraham, M.C. Cuesta, G. Bouza, A. Boero, et al.
Diagnóstico y tratamiento del absceso epidural espinal.
Medicina B-Aires, 59 (1999), pp. 59-62
[10.]
A. Chowfin, A. Potti, A. Paul, P. Carson.
Spinal epidural abscess after tattooing.
Clin Infect Dis, 29 (1999), pp. 225-226
[11.]
S. Anand, L. Maini, A. Agarwal, T. Singh, A.K. Dhal, B.K. Dhaon.
Spinal epidural abscess-a report of six cases.
Int Orthop, 23 (1999), pp. 175-177
[12.]
A.R. Mackenzie, R.B. Laing, C.C. Smith, G.F. Kaar, F.W. Smith.
Spinal epidural abscess: the importance of early diagnosis and treatment.
J Neurol Neurosurg Psychiatry, 65 (1998), pp. 209-212
[13.]
S. Rothman.
The diagnosis of infection of spine by modern imaging thecniques.
Orthop Clin North Am, 27 (1996), pp. 15-31
[14.]
D.S. Schauwecker.
The scintigraphic diagnosis of osteomyelitis.
[15.]
H. Kirzner, Y.K. Oh, S.H. Lee.
Intraspinal air: a CT finding of epidural abscess.
AJR, 151 (1988), pp. 1217-1218
[16.]
M. Erntell, S. Holtas, K. Norlin, E. Dahlquist, I. Nelsson-Ehle.
Magnetic resonance imaging in the diagnosis of spinal epidural abscess.
Scand J Infec Dis, 20 (1988), pp. 323-327
[17.]
S. Yazawa, T. Ohi, S. Sugimoto, S. Satoh, S. Matsukura.
Cervical spinal epidural abscess following acupuncture: successful treatment with antibiotics.
Intern Med, 37 (1998), pp. 161-165
[18.]
T.J. Mampalam, H. Rosegay, B.T. Andrews, M.L. Roseblum, L.H. Pitts.
Non operative treatment of spinal epidural infections.
J Neurosurgery, 71 (1989), pp. 721-729
[19.]
D. Wheeler, P. Keiser, D. Rigamonti, S. Keay.
Medical management of spinal epidural abscesses: case report and review.
Clin Infect Dis, 15 (1992), pp. 22
Copyright © 2001. Asociación Española de Pediatría
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