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Table of Contents
Vol. 16, No. 6, 1990/1991
Issue release date: 1990/1991
Section title: Case Report
Pediatr Neurosurg 1990–91;16:321–325
(DOI:10.1159/000120552)

Salmonella Osteomyelitis with Epidural Abscess

A Case Report with Review of Osteomyelitis in Children with Sickle Cell Anemia

Martino A.M.a · Winfield J.A.b
aDepartment of Neurosurgery, Childrens Hospital of Michigan, Detroit, Mich., USA; bDepartments of Neurosurgery and Pediatrics, SUNY Health Science Center at Syracuse, N.Y., USA

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Article / Publication Details

First-Page Preview
Abstract of Case Report

Published online: March 05, 2008
Issue release date: 1990/1991

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 0

ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)

For additional information: http://www.karger.com/PNE

Abstract

Neurologic complications of sickle cell anemia are most commonly ischemic strokes secondary to sludging in cerebral arterioles. We, therefore, report a case of progressive paraparesis in a child with sickle cell anemia which was initially thought to be seconddary to a spinal cord ischemic event. Further diagnostics demonstrated that the neurologic deficits were secondary to salmonella osteomyelitis and an epidural abscess, compressing the upper thoracic spinal cord at the T6 level. The diagnostic and radiological features which help to distinguish between bone infarct and osteomyelitis, both responsible for bone pain in sickle cell patients, are also presented. In particular, Tc-sulfur colloid bone marrow imaging is the most helpful test for distinguishing between these similarly presenting clinical entities, as early as 48 h after bone pain develops.

© 1991 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Case Report

Published online: March 05, 2008
Issue release date: 1990/1991

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 0

ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)

For additional information: http://www.karger.com/PNE


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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