Henton John M, Dabis Hossam S
Department of Trauma and Orthopaedics, Epsom and St Helier University Hospitals, Surrey, England.
Pediatr Emerg Care. 2009 Dec;25(12):862-4. doi: 10.1097/PEC.0b013e3181c8c60b.
Neck pain is a relatively common pediatric complaint. Most is of benign etiology. We present an unusual case of epidural abscess with associated discitis in the cervical spine of a 12-year-old after a dental extraction. This potentially dangerous complication was diagnosed before neurological complications developed and was successfully treated with antibiotics alone, preventing the need for surgery. An extensive search of the literature has revealed only 5 cases of epidural abscess secondary to dental sepsis, and to the author's knowledge, this is the first reported case in the pediatric population. We present the case and a brief review of the literature on this subject.
颈部疼痛是儿科较为常见的主诉。大多数病因良性。我们报告一例12岁儿童在拔牙后发生颈椎硬膜外脓肿并伴有椎间盘炎的罕见病例。这一潜在危险的并发症在出现神经并发症之前得到诊断，并仅通过抗生素成功治疗，避免了手术的需要。广泛检索文献仅发现5例继发于牙源性败血症的硬膜外脓肿病例，据作者所知，这是儿科人群中首例报告病例。我们呈现该病例并对关于此主题的文献进行简要综述。
