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Insidious Onset of Tetraparesis due to Cervical Epidural Abscess from Enterococcus faecalis
المؤلفون المشاركون
Stavropoulos, Nikolaos A.
Starantzis, Konstantinos A.
Soultanis, Konstantinos Chr.
Sakellariou, Vasileios I.
Papagelopoulos, Panayiotis J.
المصدر
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-03-20
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
We report a case of cervical epidural abscess from Enterococcus faecalis, which caused an insidious onset of tetraparesis.
This 53-year-old female with a history of diabetes mellitus and chronic renal failure under hemodialysis presented with pain and progressive weakness of upper and lower extremities without fever.
Although a recent MRI she did at the beginning of symptoms showed no significant pathologies, except for a cervical disc herniation and adjacent spinal degeneration, and stenosis that confused the diagnostic procedure, newer imaging with CT and MRI, which was performed due to progression of tetraparesis, revealed the formation of a cervical epidural abscess.
Surgical drainage was done after a complete infection workup.
The patient showed immediate neurological improvement after surgery.
She received antibiotics intravenously for 3 weeks and orally for another 6 weeks.
The patient was free from complications 24 months after surgery.
A high index of suspicion is most important in making a rapid and correct diagnosis of spinal epidural abscess.
The classic clinical triad (fever, local pain, and neurologic deficits) is not sensitive enough for early detection.
Continuous clinical, laboratory, and imaging monitoring are of paramount importance.
Early diagnosis and surgical intervention could optimize the final functional outcome.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Soultanis, Konstantinos Chr.& Sakellariou, Vasileios I.& Starantzis, Konstantinos A.& Stavropoulos, Nikolaos A.& Papagelopoulos, Panayiotis J.. 2013. Insidious Onset of Tetraparesis due to Cervical Epidural Abscess from Enterococcus faecalis. Case Reports in Medicine،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-477655
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Soultanis, Konstantinos Chr.…[et al.]. Insidious Onset of Tetraparesis due to Cervical Epidural Abscess from Enterococcus faecalis. Case Reports in Medicine No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-477655
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Soultanis, Konstantinos Chr.& Sakellariou, Vasileios I.& Starantzis, Konstantinos A.& Stavropoulos, Nikolaos A.& Papagelopoulos, Panayiotis J.. Insidious Onset of Tetraparesis due to Cervical Epidural Abscess from Enterococcus faecalis. Case Reports in Medicine. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-477655
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-477655
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