Large paravertebral abscess in a child.

A 2-year-old male infant with a recent history of imbalance and ambulatorydeficits came to our attention after entering the primary care unit. The child presented with a marked loss of appetite and progressive weight loss during the last two weeks. Clinical examination showeddorsal gibbus and signs of uppermotor neuron lesion on lower limb examination. Conventional laboratory exams showed a mild leukocytosis and elevation of erythrocyte sedimentation rate andC-reactive protein levels.Anultrasound evaluationof the abdomen identified a large solid mass reported on the left suprarenalgland.X-rayexaminationof the spinewasperformedand revealed crushing of the 11 and 12 dorsal vertebrae with a