Rare Presentation of Meningitis Due to Lumbar Facetal Septic Abscess: A Case Report.

Autor:	Kalanjiyam GP; Department of Spine Surgery, Ganga Medical Centre and Hospitals Pvt. Ltd., Coimbatore, India., Shanmuganathan R; Department of Spine Surgery, Ganga Medical Centre and Hospitals Pvt. Ltd., Coimbatore, India., Shetty AP; Department of Spine Surgery, Ganga Medical Centre and Hospitals Pvt. Ltd., Coimbatore, India., Kanna RM; Department of Spine Surgery, Ganga Medical Centre and Hospitals Pvt. Ltd., Coimbatore, India., Thippesamy PB; Department of Radiology, Ganga Medical Centre and Hospitals Pvt. Ltd., Coimbatore, India., Raja DC; Department of Spine Surgery, Ganga Medical Centre and Hospitals Pvt. Ltd., Coimbatore, India.
Jazyk:	angličtina
Zdroj:	JBJS case connector [JBJS Case Connect] 2022 Jun 15; Vol. 12 (2). Date of Electronic Publication: 2022 Jun 15 (Print Publication: 2022).
DOI:	e22.00048
Abstrakt:	Case: An elderly obese woman with comorbidities presented with acute-onset altered sensorium. She was diagnosed with meningitis and started on empirical antibiotics. She became oriented after 48 hours and mentioned that she had severe low backache in the previous week. Examination revealed bilateral lower limb weakness. Magnetic resonance imaging showed L3-L4 lumbar facetal abscess (LFA) with epidural extension. Posterior instrumented decompression was performed. Tissue culture grew Enterococcus, and the patient was administered vancomycin and linezolid. At 3 months, there was complete neurological recovery, and she was normal at the 1-year follow-up. Conclusion: This report highlights the rare presentation of LFA complicating meningitis and its treatment. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B876). (Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze:	MEDLINE
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