Document Detail

Spinal epidural abscess due to tropical pyomyositis in immunocompetent adolescents.
MedLine Citation:
PMID:  20593985     Owner:  NLM     Status:  MEDLINE    
Pyomyositis, a suppurative infection of skeletal muscle, is a disease not frequently encountered by neurosurgical providers. While previously considered an infection localized to tropical and semitropical locations, clinical reports of pyomyositis in temperate climates have increased over the past decade. Paraspinal involvement is uncommon in pyomyositis; however, the potential exists for spread into the epidural space resulting in a spinal epidural abscess (SEA). Early diagnosis of an SEA is frequently hampered by the absence of specific signs, unfamiliarity with the disease, atypical manifestations, and a broad differential diagnosis that includes more common causes of back pain. To date, 1 such case of paraspinal pyomyositis associated with an SEA has been reported in the neurosurgical literature. The authors present 2 cases of pyomyositis with an SEA and review the epidemiology, pathophysiology, diagnostic workup, and management of this disorder.
Donnell K Bowen; Lex A Mitchell; Mark W Burnett; Veronica J Rooks; Jonathan E Martin
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of neurosurgery. Pediatrics     Volume:  6     ISSN:  1933-0715     ISO Abbreviation:  J Neurosurg Pediatr     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-02     Completed Date:  2010-07-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101463759     Medline TA:  J Neurosurg Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  33-7     Citation Subset:  IM    
Departments of Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA.
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MeSH Terms
Epidural Abscess / diagnosis*,  surgery*
Image Enhancement*
Image Processing, Computer-Assisted*
Magnetic Resonance Imaging*
Methicillin-Resistant Staphylococcus aureus*
Postoperative Complications / diagnosis
Pulmonary Embolism / diagnosis
Pyomyositis / diagnosis*,  surgery*
Spinal Canal / pathology,  surgery
Spinal Cord Compression / diagnosis*,  surgery*
Spinal Diseases / diagnosis*,  surgery*
Staphylococcal Infections / diagnosis*,  surgery*
Thoracic Vertebrae / pathology*,  surgery*
Tomography, X-Ray Computed*

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