Poster 334: Delayed Diagnosis of Spinal Epidural Abscess in a Chronic Pain Patient: A Case Report

Spinal epidural abscess (SEA) is a rare disease which is often rapidly progressive. Delayed diagnosis of SEA may lead to serious complications and the clinical findings of SEA are generally nonspecific. Paraspinal abscess should be considered in the presence of local low back tenderness, redness, and pain with fever, particularly in children. In case of delayed diagnosis and treatment, SEA may spread to the epidural space and may cause neurological deficits. Magnetic resonance imaging (MRI) remains the method of choice in the diagnosis of SEA. Treatment of SEA often consists of both medical and surgical therapy including drainage with percutaneous entry, corpectomy, and instrumentation.

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Spinal epidural abscess due to Mycobacterium tuberculosis in a patient with AIDS: case report and review of the literature

The Brazilian Journal of Infectious Diseases ◽

10.1590/s1413-86702006000200013 ◽

2006 ◽

Vol 10 (2) ◽

Cited By ~ 10

Author(s):

Humberto Metta ◽

Marcelo Corti ◽

Liliana Redini ◽

Claudio Yampolsky ◽

Ricardo Schtirbu

Keyword(s):

Mycobacterium Tuberculosis ◽

Case Report ◽

Epidural Abscess ◽

Spinal Epidural Abscess ◽

Review Of The Literature ◽

Spinal Epidural

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Full Endoscopic Removal of Cervical Spinal Epidural Abscess: Case Report and Technical Note

Neurospine ◽

10.14245/ns.2040218.109 ◽

2020 ◽

Vol 17 (Suppl 1) ◽

pp. S160-S165

Author(s):

Kai-Sheng Chang ◽

Li-Wei Sun ◽

Chun-Yuan Cheng ◽

Shang-Wen Chang ◽

Chien-Min Chen

Keyword(s):

Case Report ◽

Epidural Abscess ◽

Technical Note ◽

Spinal Epidural Abscess ◽

Endoscopic Removal ◽

Spinal Epidural

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Community-Acquired Serratia Marcescens Spinal Epidural Abscess in a Patient Without Risk Factors: Case Report and Review

Canadian Journal of Infectious Diseases and Medical Microbiology ◽

10.1155/2008/210951 ◽

2008 ◽

Vol 19 (3) ◽

pp. 250-252 ◽

Cited By ~ 7

Author(s):

Michael D Parkins ◽

Daniel B Gregson

Keyword(s):

Risk Factors ◽

Case Report ◽

Serratia Marcescens ◽

Immune Suppression ◽

Epidural Abscess ◽

Cauda Equina ◽

Invasive Disease ◽

Spinal Epidural Abscess ◽

Medical Comorbidities ◽

Spinal Epidural

Serratia marcescenshas rarely been reported as an agent of invasive disease in patients presenting from the community. Furthermore,S marcescensis frequently opportunistic, affecting individuals with serious medical comorbidities including immune suppression and diabetes. A case of a community-acquiredS marcescensspontaneous lumbar epidural abscess presenting as cauda equina syndrome is reported in a previously well 36-year-old man with no identifiable risk factors. To the authors’ knowledge, this is the first report of invasiveS marcescenscausing disease in a patient with no medical comorbidities.

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Spinal epidural abscess

CJEM ◽

10.1017/s1481803500014603 ◽

2005 ◽

Vol 7 (05) ◽

pp. 351-354 ◽

Cited By ~ 2

Author(s):

Amy Louis ◽

Christopher M.B. Fernandes

Keyword(s):

Spinal Surgery ◽

Epidural Abscess ◽

Delayed Diagnosis ◽

Emergency Department Visits ◽

Spinal Epidural Abscess ◽

Intravenous Drug Use ◽

Resonance Imaging ◽

Uncommon Condition ◽

Spinal Epidural ◽

Distal Site

ABSTRACT Spinal epidural abscess is an uncommon condition. Predisposing factors include spinal surgery, recent trauma, immunosuppression, a distal site of infection and intravenous drug use; however, these are not always present, as illustrated by this case report describing a patient who had repeated emergency department visits and delayed diagnosis that was ultimately confirmed via magnetic resonance imaging.

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