Marks W A, Bodensteiner J B
Department of Neurology, University of Oklahoma Health Sciences Center, Oklahoma Children's Memorial Hospital, Oklahoma City 73104.
J Child Neurol. 1988 Jan;3(1):25-9. doi: 10.1177/088307388800300104.
Spinal epidural abscess is a rare infection in childhood. We report the first documented case of pneumococcal epidural abscess in an infant and review the literature regarding this entity. In children, the signs and symptoms of spinal epidural abscess may not be as helpful as those in older patients. Furthermore, the offending organism may not be the usual Staphylococcus seen in adults. Infants may recover neurologic function even after prolonged cord compression; however, a high index of suspicion is needed to make the diagnosis in a timely fashion.
脊柱硬膜外脓肿在儿童时期是一种罕见的感染性疾病。我们报告了首例有文献记载的婴儿肺炎球菌性硬膜外脓肿病例，并回顾了关于该疾病的文献。在儿童中，脊柱硬膜外脓肿的体征和症状可能不如年长患者那样有诊断价值。此外，致病微生物可能并非成人常见的葡萄球菌。即使在脊髓长期受压后，婴儿仍可能恢复神经功能；然而，需要高度怀疑才能及时做出诊断。
