![](/images/graphics-bg.png)
Bacterial Spinal Epidural and Psoas Abscess in Pregnancy Associated with Intravenous Drug Use
Joint Authors
Pachtman, Sarah L.
Spiegel Strauss, Tirtza N.
Rochelson, Burton
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-06-11
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Spontaneous spinal epidural abscess (SEA) is a rare infection of the central nervous system.
We report a case of a 25-year-old G3 P0020 at 36 weeks of gestational age with history of intravenous drug abuse presenting with acute-onset and severe back pain.
Despite antibiotic therapy, pain worsened and she developed lower extremity weakness.
Magnetic resonance imaging (MRI) revealed an SEA, and cesarean delivery was performed secondary to increasing weakness, followed by laminectomy (T9-12) and decompression of epidural abscess.
Postoperative course was complicated by a psoas muscle abscess and persistent SEA refractory to antibiotic therapy, requiring surgical reexploration and extended treatment with antibiotics.
She was discharged home in stable condition and neonate did well with no resulting sequelae.
Spinal epidural and psoas abscesses are rare and diagnosis is often delayed.
Prompt recognition and treatment are necessary to prevent catastrophic neurologic consequences, and the diagnosis should be considered in pregnant patients presenting with back pain, especially in those with risk factors.
American Psychological Association (APA)
Spiegel Strauss, Tirtza N.& Pachtman, Sarah L.& Rochelson, Burton. 2018. Bacterial Spinal Epidural and Psoas Abscess in Pregnancy Associated with Intravenous Drug Use. Case Reports in Obstetrics and Gynecology،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145591
Modern Language Association (MLA)
Spiegel Strauss, Tirtza N.…[et al.]. Bacterial Spinal Epidural and Psoas Abscess in Pregnancy Associated with Intravenous Drug Use. Case Reports in Obstetrics and Gynecology No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1145591
American Medical Association (AMA)
Spiegel Strauss, Tirtza N.& Pachtman, Sarah L.& Rochelson, Burton. Bacterial Spinal Epidural and Psoas Abscess in Pregnancy Associated with Intravenous Drug Use. Case Reports in Obstetrics and Gynecology. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145591
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145591