Cervical, Thoracic, and Lumbar Spine Epidural Abscess: Case Report and Literature Review
Joint Authors
Baralo, Bohdan
Kulkarni, Mrunal
Ellangovan, Rithikaa
Selko, Robert
Kulkarni, Ajinkya
Guha Roy, Shambo
Gilbert, Mark
Source
Case Reports in Infectious Diseases
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-10-08
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Baralo, Bohdan& Kulkarni, Mrunal& Ellangovan, Rithikaa& Selko, Robert& Kulkarni, Ajinkya& Guha Roy, Shambo…[et al.]. 2020. Cervical, Thoracic, and Lumbar Spine Epidural Abscess: Case Report and Literature Review. Case Reports in Infectious Diseases،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1148281
Modern Language Association (MLA)
Baralo, Bohdan…[et al.]. Cervical, Thoracic, and Lumbar Spine Epidural Abscess: Case Report and Literature Review. Case Reports in Infectious Diseases No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1148281
American Medical Association (AMA)
Baralo, Bohdan& Kulkarni, Mrunal& Ellangovan, Rithikaa& Selko, Robert& Kulkarni, Ajinkya& Guha Roy, Shambo…[et al.]. Cervical, Thoracic, and Lumbar Spine Epidural Abscess: Case Report and Literature Review. Case Reports in Infectious Diseases. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1148281
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148281