Abstract

RODRIGUEZ CABALGANTE, MARíA JOSé; GALIANA, ÁLVARO  and  RUBIO, IVONNE. Empiema intrarraquídeo múltiple   por Staphylococcus aureus meticilino resistente adquirido en la comunidad. Arch. Pediatr. Urug. [online]. 2006, vol.77, n.1, pp.24-28. ISSN 1688-1249.

Summary Spinal epidural abscess is an uncommon disease and a rare entity in the pediatric age group.  In the last years, there has been an important increase in frecuency and severity of infections caused by communitty-acquired methicillin resistant Staphylococcus aureus (CA-MRSA) worldwide. There is no antecedent of spinal epidural abscess caused by CA-MRSA in the literature. The lack of knowledge of this disease and its fast evolution may lead to diagnosis delay, causing paralysis or even death. We present a case of spinal epidural abscess in a seven year old child, who had  impetigo, dorsal back pain and fever.  The computed tomography showed an extradural spinal mass which compressed the spine spinal cord and the magnetic resonance imaging (MRI) with gadolinium showed multiple posterior epidural lesions of high spinal intensity on T2 compatible with abscesses at  cervico-dorsal-lumbar level. The blood and skin cultures developed CA-MRSA. Medical treatment with antibiotics with vancomicin, clindamicin and teicoplanin was succesfull with no need of surgical treatment

Keywords : SPINAL CORD DISEASES;  STAPHYLOCOCCUS AUREUS; METHICILLIN RESISTANCE;  COMMUNITY-ACQUIRED INFECTIONS.

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