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PERIANAL ABSCESSES ON PEDIATRIC PATIENTS REPORTING ACUTE GAIT DISTURBANCE.

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Introduction: Perianal abscess is an infectious condition which is characterized by a form of mass located in the anal area that is accompanied by aches and fever. This condition is rare in infants and children with it having less of a chance of being seen spontaneously. It can be caused by the infammatory bowel disease, diabetes mellitus, immune deficiency, tuberculosis, radiotherapy and trauma in patients.

Case report: A 2,5 year old female infant was reported to the external center 2 days ago with complaints regarding gait disturbance and imbalance. After spotting the increasing amount of acute phase reactants (APR) that were inspected in her report, the infant has been redirected to our emergency clinic. There were signs of discomfort, limping and ataxia during the examination that was done on the infant at her arrival. However, the neurologic, jointal and other systemic examinations were classified as normal. In the blood tests that were done, an extraordinarily high amount of APR was spotted. The direct graphs and limbic ultrasonographies were reported normal, as well. However, the patient developped the opistotonus position and an increase in gait disturbance. The magnetic resonance imaging that was taken reported "a 75x37x44 mm sized placeholder apparition in the belly button area that is primarily compatible with the abcess, extending to the right gluteal area". The patient was taken to abcess drainage. Empirically, cephaxon and clindamycin treatment has been started. There has also been E.coli reproduction in the pill cultures that were taken. The immunologic evaluation of the patient showed no anomalies. The decrease of APR has also been spotted in the controlled blood tests that were checked. The treatment has worked on the patient.

Conclusion: Perianal abcess separative diagnostics should be taken into account, although with a low possibility, when evaluating patients, especially younger ones, that report with instantaneous gait disturbances.

Kubra Aydogan, Yilmaz Secilmis, Feyza Dogan, Murat Dogan, Adnan Ozturk

Department of Pediatrics, Erciyes University School of Medicine, Kayseri, Turkey

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Title Annotation:Poster Presentation Abstracts
Author:Aydogan, Kubra; Secilmis, Yilmaz; Dogan, Feyza; Dogan, Murat; Ozturk, Adnan
Publication:Erciyes Medical Journal
Article Type:Clinical report
Date:Mar 1, 2017
Words:327
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