| Spinal epidural abscess due to tropical pyomyositis in immunocompetent adolescents. | |
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MedLine Citation:
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PMID: 20593985 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Donnell K Bowen; Lex A Mitchell; Mark W Burnett; Veronica J Rooks; Jonathan E Martin |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Journal of neurosurgery. Pediatrics Volume: 6 ISSN: 1933-0715 ISO Abbreviation: J Neurosurg Pediatr Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-02 Completed Date: 2010-07-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101463759 Medline TA: J Neurosurg Pediatr Country: United States |
Other Details:
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Languages: eng Pagination: 33-7 Citation Subset: IM |
Affiliation:
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Departments of Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Angiography Child Epidural Abscess / diagnosis*, surgery* Humans Image Enhancement* Image Processing, Computer-Assisted* Laminectomy Magnetic Resonance Imaging* Male 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* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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