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Spinal epidural abscess from group A Streptococcus after varicella infection: a case report and review of the literature

Cossu, G. ; Farhane, M. ; Daniel, R. ; Messerer, M.

In: Child's Nervous System, 2014, vol. 30, no. 12, p. 2129-2133

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    Titre
    • Spinal epidural abscess from group A Streptococcus after varicella infection: a case report and review of the literature
    Auteur
    • Cossu, G.. Departement de Neurosciences Cliniques, Service de Neurochirurgie, Centre Hospitalier Universitaire Vaudois, Université de Médecine et Biologie de Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland
    • Farhane, M.. Departement de Neurosciences Cliniques, Service de Neurochirurgie, Centre Hospitalier Universitaire Vaudois, Université de Médecine et Biologie de Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland
    • Daniel, R.. Departement de Neurosciences Cliniques, Service de Neurochirurgie, Centre Hospitalier Universitaire Vaudois, Université de Médecine et Biologie de Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland
    • Messerer, M.. Departement de Neurosciences Cliniques, Service de Neurochirurgie, Centre Hospitalier Universitaire Vaudois, Université de Médecine et Biologie de Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Child's Nervous System, 2014, vol. 30, no. 12, p. 2129-2133. Springer Berlin Heidelberg
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:325103
    Summary
    Introduction: Spinal epidural abscess (SEA) is a very rare condition in pediatric patients. Varicella zoster infection could be a predisposing factor, and SEA should be suspected in patients with signs of secondary bacterial infection and even mild neurological signs. Clinical case: We describe here a case of a 30-month-old girl with a history of remitting varicella infection, diagnosed for a lumbar epidural abscess and sacro-ileitis, secondary to group A Streptococcus (GAS). Discussion: This is the third case of SEA from GAS reported in the literature in a pediatric population with varicella infection. We discuss here the clinical presentation and the diagnostic challenges for SEA in childhood through a review of the literature.