Abstract
Study design:
Case Report.
Objectives:
To report a case of spinal intradural abscess caused by hematogenous spread of Prevotella oralis and discuss the treatment.
Setting:
Department of Neurosurgery, Ankara Education and Research Hospital, Ankara, Turkey.
Method:
We report a 3-year-old child with progressive paraparesis who was diagnosed with an intradural spinal abscess, epidermoid cyst and dermal sinus. The patient was treated surgically followed by antimicrobial treatment.
Result:
Intraoperative abscess culture was positive for Prevotella oralis, which has not been reported before as a single isolate in literature. The patient’s neurologic status was significantly improved after surgical treatment.
Conclusion:
Prophylactic antimicrobial therapies should cover the anaerobic bacteria in spinal intradural abscess. Surgical decompression with laminectomy and duraplasty may be warranted to achieve immediate neurologic improvement in such cases.
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Karatay, M., Koktekir, E., Celik, H. et al. Spinal intradural abscess caused by hematogenous spread of Prevotella oralis in a 3-year-old child with an asymptomatic congenital spinal abnormality. Spinal Cord 53 (Suppl 1), S13–S15 (2015). https://doi.org/10.1038/sc.2014.197
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DOI: https://doi.org/10.1038/sc.2014.197
