Intramedullary abscess complicating congenital dermal sinus tract in an infant: A rare occurrence

Case report A four month old baby girl was brought to our department with a history of progressive decrease in movements of the left lower limb of three weeks duration and right lower limb of one day duration. The baby was intermittently febrile since three days prior to hospital admission and also had retention of urine of one day duration. The baby did not have any seizures, altered sensorium, vomiting or any history suggestive of central nervous system (CNS) involvement or raised intracranial tension. Parents noticed decreased sensations in lower limbs. The mother also reported that when pinched on the left leg she was not wincing or crying. She had a birth mark with a dimple in the lower back from which a recurrent discharge of white fluid was present since one and a half months of age. The parents had consulted multiple doctors including a neurosurgeon for the same but was reassured and sent back.