This is the first report of a large epidural abscess ranging from the cervical to the lumbosacral spine in a child with a very short history of clinical symptoms and a previous history of imperforate anus. A 2-year-old boy presented with a history of fever and fatigue for 5 days. The last two days, he was unwilling to walk or lie on his back. His parents reported on diarrhea with diaper dermatitis followed by the onset of fever. In his past history, the boy underwent a posterior sagittal anorecto-plasty for an imperforate anus with a rec-tourethral fistula two years prior to the current presentation, and an inconspicuous sacral dermal sinus tract (DST) was diagnosed, but he had not yet undergone surgery.
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