Salmonella epidural abscess in sickle cell disease: failure of the nonsurgical treatment.

Details

Serval ID
serval:BIB_D936B605A4A3
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Salmonella epidural abscess in sickle cell disease: failure of the nonsurgical treatment.
Journal
Journal of the National Medical Association
Author(s)
Diebold P., Humbert J., Djientcheu V.d.e. .P., Gudinchet F., Rilliet B.
ISSN
0027-9684
Publication state
Published
Issued date
2003
Peer-reviewed
Oui
Volume
95
Number
11
Pages
1095-8
Language
english
Notes
Publication types: Case Reports ; Journal Article ; Review - Publication Status: ppublish
Abstract
In patients suffering from sickle cell disease (SCD), bone is a preferred site of infection. We report the case of a five-year-and-eight-month-old black African boy with homozygous-SS disease who developed a cranial epidural abscess. This intracranial infectious complication originated from a Salmonella enteritidis osteitis of the frontal bone. Antibiotic treatment alone did not control the disease, so surgery was necessary to remove the necrotic bone and to evacuate the epidural pus. The numerous factors interfering with normal healing of a septic focus in sickle cell anemia, particularly in this previously undescribed intracranial complication, emphasize the need for a primary and early surgical treatment in similar situations.
Keywords
Anemia, Sickle Cell, Anti-Bacterial Agents, Child, Preschool, Drug Therapy, Combination, Epidural Abscess, Frontal Bone, Humans, Male, Osteitis, Salmonella Infections, Salmonella enteritidis
Pubmed
Web of science
Create date
25/01/2008 8:54
Last modification date
20/08/2019 15:58
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