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[Congenital dermal sinus tract of recurrent pyrexia: case report].
No Shinkei Geka. 2002 Sep; 30(9):967-71.NS

Abstract

The authors present a case of congenital dermal sinus tract with epidermoid tumor. This 1-year-old boy was referred to the pediatric service of another hospital with recurrent pyrexia of unknown origin in April, 1999. The pediatrician found two dimples, pigmentation, and coarse hairs on the midline in his sacral region. Computerized tomography (CT) scans revealed a spina bifida below the S1 level. Magnetic resonance (MR) imaging revealed a dermal sinus tract in the cranial direction to a cystic tumor at L2-4 levels. He was transferred to our hospital, and the tract and tumor were totally removed in June, 1999. The histological findings and Escherichia coli in the smear culture of the tumor contents identified it as an infected congenital dermal sinus tract with epidermoid tumor. The patient received antibiotics for two weeks after surgery and there was no clinical or radiographic recurrence of either infection or tumor. The authors propose early diagnosis and radical treatment, because infected congenital dermal sinus tract often leads to a bad neurological prognosis.

Authors+Show Affiliations

Department of Neurosurgery, Graduate School of Medicine, Tohoku University, 1-1 Seiryo-cho, Aoba-ku, Sendai-city, Miyagi 980-8574, Japan.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

12233095

Citation

Minegishi, Kazunori, et al. "[Congenital Dermal Sinus Tract of Recurrent Pyrexia: Case Report]." No Shinkei Geka. Neurological Surgery, vol. 30, no. 9, 2002, pp. 967-71.
Minegishi K, Kusaka Y, Shirane R, et al. [Congenital dermal sinus tract of recurrent pyrexia: case report]. No Shinkei Geka. 2002;30(9):967-71.
Minegishi, K., Kusaka, Y., Shirane, R., & Yoshimoto, T. (2002). [Congenital dermal sinus tract of recurrent pyrexia: case report]. No Shinkei Geka. Neurological Surgery, 30(9), 967-71.
Minegishi K, et al. [Congenital Dermal Sinus Tract of Recurrent Pyrexia: Case Report]. No Shinkei Geka. 2002;30(9):967-71. PubMed PMID: 12233095.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Congenital dermal sinus tract of recurrent pyrexia: case report]. AU - Minegishi,Kazunori, AU - Kusaka,Yasuko, AU - Shirane,Reizo, AU - Yoshimoto,Takashi, PY - 2002/9/18/pubmed PY - 2002/11/26/medline PY - 2002/9/18/entrez SP - 967 EP - 71 JF - No shinkei geka. Neurological surgery JO - No Shinkei Geka VL - 30 IS - 9 N2 - The authors present a case of congenital dermal sinus tract with epidermoid tumor. This 1-year-old boy was referred to the pediatric service of another hospital with recurrent pyrexia of unknown origin in April, 1999. The pediatrician found two dimples, pigmentation, and coarse hairs on the midline in his sacral region. Computerized tomography (CT) scans revealed a spina bifida below the S1 level. Magnetic resonance (MR) imaging revealed a dermal sinus tract in the cranial direction to a cystic tumor at L2-4 levels. He was transferred to our hospital, and the tract and tumor were totally removed in June, 1999. The histological findings and Escherichia coli in the smear culture of the tumor contents identified it as an infected congenital dermal sinus tract with epidermoid tumor. The patient received antibiotics for two weeks after surgery and there was no clinical or radiographic recurrence of either infection or tumor. The authors propose early diagnosis and radical treatment, because infected congenital dermal sinus tract often leads to a bad neurological prognosis. SN - 0301-2603 UR - https://www.unboundmedicine.com/medline/citation/12233095/[Congenital_dermal_sinus_tract_of_recurrent_pyrexia:_case_report]_ L2 - https://medlineplus.gov/skincancer.html DB - PRIME DP - Unbound Medicine ER -