Spinal epidural abscess (SEA) presents with vertebral body involvement. SEA is mostly pyogenic in developed countries, but in developing countries, tuberculosis is more common cause. Young female presented with fever, neck, and right upper limb pain for 1 month followed by acute onset weakness in the right upper limb. Magnetic resonance imaging study of cervical spine showed contrast-enhancing lesion in C2–C3 epidural region. Surgery-aided by initiation of antibacterial and antitubercular treatment based on culture and histopathological study of pus helped us to get good clinical outcome. One should always keep in mind possibility of tubercular abscess while treating cases of spinal epidural lesions, though it is rare in the absence of osseous involvement. Pyogenic and tubercular abscess can present concurrently and sending pus for culture and sensitivity is must as it plays important role in identifying dual organisms.
Civilian penetrating brain injury (PBI) is a rare form of traumatic brain injury (TBI) and is rarer in the pediatric population. Pediatric PBI due to various objects has been reported in the literature. Pediatric PBI with an iron rod has not been previously described. We reported a case of civilian penetrating injury in a 6-year-old girl child patient who fell over a projecting iron rod at a construction site from a height of 6 to 8 feet. She was lifted off from the iron rod and taken to the emergency medical services. CT scan of the brain revealed linear intracerebral hemorrhage along the iron rod’s track with a depressed fracture. She underwent emergency surgery because of a compound depressed fracture. She recovered well from his injury without neurological deficit with an excellent clinical outcome.
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