Document Detail

Discitis and epidural abscess after dental extraction in a pediatric patient: a case report.
MedLine Citation:
PMID:  20016360     Owner:  NLM     Status:  MEDLINE    
Neck pain is a relatively common pediatric complaint. Most is of benign etiology. We present an unusual case of epidural abscess with associated discitis in the cervical spine of a 12-year-old after a dental extraction. This potentially dangerous complication was diagnosed before neurological complications developed and was successfully treated with antibiotics alone, preventing the need for surgery. An extensive search of the literature has revealed only 5 cases of epidural abscess secondary to dental sepsis, and to the author's knowledge, this is the first reported case in the pediatric population. We present the case and a brief review of the literature on this subject.
John M Henton; Hossam S Dabis
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric emergency care     Volume:  25     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-17     Completed Date:  2010-03-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  862-4     Citation Subset:  IM    
Department of Trauma and Orthopaedics, Epsom and St Helier University Hospitals, Surrey, England.
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MeSH Terms
Cervical Vertebrae*
Diagnosis, Differential
Discitis / etiology*,  pathology
Epidural Abscess / etiology*,  pathology
Magnetic Resonance Imaging
Neck Pain / etiology*
Tooth Extraction / adverse effects*

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