Cossu G, Farhane M A, Daniel R T, 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,
Childs Nerv Syst. 2014 Dec;30(12):2129-33. doi: 10.1007/s00381-014-2479-3. Epub 2014 Jul 8.
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.
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).
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.
脊髓硬膜外脓肿（SEA）在儿科患者中是一种非常罕见的病症。水痘带状疱疹感染可能是一个诱发因素，对于有继发性细菌感染迹象甚至轻度神经体征的患者，应怀疑患有SEA。
我们在此描述一名30个月大女童的病例，她有水痘感染缓解病史，被诊断为继发于A组链球菌（GAS）的腰椎硬膜外脓肿和骶髂关节炎。
这是文献中报道的第三例在患有水痘感染的儿科人群中由GAS引起的SEA病例。我们通过文献回顾在此讨论儿童SEA的临床表现和诊断挑战。
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