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A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

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Paraspinal Abscess in a Two-year-old Female.

Rachel O'Donnell¹, Sean Sayani¹, Phillip Aguìñiga-Navarrete¹

¹Kern Medical Center, Department of Emergency Medicine, Bakersfield, California.

Clinical Practice and Cases in Emergency Medicine

|February 18, 2020

Summary

Paraspinal abscesses are rare and often diagnosed late. This case highlights successful, rapid treatment of a pediatric lumbar paraspinal abscess via ultrasound-guided drainage.

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Area of Science:

Pediatric Infectious Diseases
Spinal Surgery
Diagnostic Imaging

Background:

Paraspinal abscesses are uncommon, often presenting with vague symptoms leading to delayed diagnosis and increased patient morbidity.
Risk factors include invasive spinal procedures, diabetes, trauma, steroid use, malnutrition, IV drug use, and immunocompromise.
Pediatric paraspinal abscesses are particularly underreported in medical literature.

Observation:

A two-year-old female presented with fever, lower back pain, and reduced oral intake.
Initial symptoms were nonspecific, delaying definitive diagnosis.
The patient was ultimately diagnosed with an isolated lumbar paraspinal abscess.

Findings:

The pediatric patient's isolated lumbar paraspinal abscess was successfully treated with ultrasound-guided percutaneous drainage.
The patient showed significant clinical improvement post-procedure.
Hospital discharge occurred within 48 hours of admission.

Implications:

This case underscores the importance of considering paraspinal abscesses in pediatric patients with relevant symptoms.
Ultrasound-guided percutaneous drainage offers a minimally invasive and effective treatment option.
Prompt diagnosis and intervention can significantly reduce morbidity and mortality associated with paraspinal abscesses.