Cervical, Thoracic, and Lumbar Spine Epidural Abscess: Case Report and Literature Review
Autor: | Robert Selko, Mark Gilbert, Shambo Guha Roy, Bohdan Baralo, Mrunal Kulkarni, Rithikaa Ellangovan, Ajinkya Kulkarni |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Neurological signs
medicine.medical_specialty Epidural abscess business.industry Case Report Infectious and parasitic diseases RC109-216 General Medicine medicine.disease Spinal epidural abscess Surgery Sepsis 03 medical and health sciences 0302 clinical medicine Lumbar Back pain Medicine Lumbar spine 030212 general & internal medicine medicine.symptom business Abscess 030217 neurology & neurosurgery |
Zdroj: | Case Reports in Infectious Diseases Case Reports in Infectious Diseases, Vol 2020 (2020) |
ISSN: | 2090-6633 2090-6625 |
Popis: | We report a case of a spinal epidural abscess (SEA) in a patient without significant risk factors. The patient was treated in an outpatient setting for one week for worsening back pain and subsequently admitted to the hospital for the treatment of sepsis and suspected SEA. An MRI obtained on admission showed an epidural abscess extending from the lower cervical to the upper lumbar region and accompanying paraspinal cervical and psoas abscesses. The patient was successfully treated with antibiotics based on the sensitivity of the surgical cultures received from a needle aspiration of the abscess. SEA has a low incidence; however, the number of cases is consistently rising over the last two decades. The outcome of SEA treatment is related to the duration of the process prior to intuition of the treatment. Patients with no neurological symptoms, or with symptoms lasting less than 36 h, have the best recovery rate. As the typical symptoms of SEA are seen in only 13% of cases, physicians should have a low threshold to order MRI in patients with back pain that is new or changed from the baseline. With the help of CT-guided aspiration for culture analysis, patients can be successfully treated conservatively using antibiotics in cases where neurological signs are absent. |
Databáze: | OpenAIRE |
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