Ladhani S, Phillips S D, Allgrove J
East London Centre for Paediatric and Adolescent Diabetes at Royal London Hospital, Whitechapel E1 1BB, UK.
Arch Dis Child. 2002 Dec;87(6):543-4. doi: 10.1136/adc.87.6.543.
Insulin dependent diabetes mellitus predisposes to a range of different and unusual infections, including epidural and psoas abscesses. However, they occur mainly in adults with longstanding diabetes. We report the case of a 12 year old boy who presented with diabetic ketoacidosis and low back pain, and was subsequently diagnosed with both a left psoas abscess and an extensive thoracolumbar spinal epidural abscess measuring 20 cm in length. This case report highlights the need to maintain a high index of suspicion for epidural abscesses in children presenting with fever and localised back pain. Early diagnosis with appropriate imaging and aggressive management can prevent development of permanent neurological damage as was the case in our patient.
胰岛素依赖型糖尿病易引发一系列不同寻常的感染，包括硬膜外脓肿和腰大肌脓肿。然而，这些感染主要发生在患有长期糖尿病的成年人中。我们报告了一例12岁男孩的病例，该男孩出现糖尿病酮症酸中毒和腰痛，随后被诊断出患有左侧腰大肌脓肿和一个长达20厘米的广泛胸腰段脊柱硬膜外脓肿。本病例报告强调，对于出现发热和局部背痛的儿童，需要高度怀疑硬膜外脓肿。如我们的患者那样，通过适当的影像学检查早期诊断并积极治疗，可以预防永久性神经损伤的发生。
