Heenan S D, Britton J
Department of Neuroradiology, Atkinson Morley's Hospital, Wimbledon, London, UK.
Neuroradiology. 1995 Aug;37(6):462-4. doi: 10.1007/BF00600094.
A 10-year-old boy presented with a 7-day history of back pain and pyrexia. MRI showed an epidural abscess arising from septic arthritis in a lumbar facet joint. Whilst septic arthritis in a large joint is relatively common in children, epidural abscess is rare. This case illustrates how infection in a synovial joint may extend into the extradural space and might be the route of infection in more cases than has previously been recognised.