Response to: A rare case of holocord spinal epidural abscess

A 76-year-old woman with a rare case of spinal epidural abscess (SEA) that had no risk factors for such type of infection, presented symptoms of back pain, progressive neurological deficit of the lower limb and loss of sphincter control. A gadolinium-enhanced MRI confirmed the diagnosis of an SEA. The patient underwent laminectomy with surgical drainage, where cultures showed the presence of Aggregatibacter aphrophilus, a bacterium of the HACEK group (Haemophilus species, Aggregatibacter species, Cardiobacterium hominis, Eikenella corrodens, and Kingella species), rarely involved in SEA. Following surgery, the patient was treated with intravenous ceftriaxone for 6 weeks, and this gave excellent results.

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A Rare Case of Primary Spinal Epidural Abscess Caused by Streptococcus mitis in an Immunocompetent Adult With Incidentally Diagnosed Allergic Bronchopulmonary Aspergillosis

Clinical Infection and Immunity ◽

10.14740/cii74 ◽

2019 ◽

Vol 4 (1) ◽

pp. 12-15

Author(s):

Osama Hallak ◽

Sameera Natarajan ◽

Arjun Natarajan

Keyword(s):

Rare Case ◽

Epidural Abscess ◽

Allergic Bronchopulmonary Aspergillosis ◽

Spinal Epidural Abscess ◽

Streptococcus Mitis ◽

Immunocompetent Adult ◽

Spinal Epidural

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A Rare Case of Extensive Spinal Epidural Abscess in a Diabetic Patient

Spine ◽

10.1097/brs.0b013e3181b9764d ◽

2010 ◽

Vol 35 (2) ◽

pp. E53-E56 ◽

Cited By ~ 5

Author(s):

Haitham Elsamaloty ◽

Mohamed Elzawawi ◽

Ahmad Abduljabar

Keyword(s):

Diabetic Patient ◽

Rare Case ◽

Epidural Abscess ◽

Spinal Epidural Abscess ◽

Spinal Epidural

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A rare case of holocord spinal epidural abscess

QJM ◽

10.1093/qjmed/hcz291 ◽

2019 ◽

Vol 113 (4) ◽

pp. 302-303 ◽

Cited By ~ 2

Author(s):

K K Sahu ◽

I Chastain

Keyword(s):

Rare Case ◽

Epidural Abscess ◽

Spinal Epidural Abscess ◽

Spinal Epidural

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Spinal cord disorder due to spinal epidural abscess secondary to thoracic facet joint septic arthritis—a rare case with a surprising evolution

Spinal Cord Series and Cases ◽

10.1038/s41394-020-00353-7 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Teresa Plancha da Silva ◽

Marta Amaral Silva ◽

Sílvia Santos Boaventura ◽

Mariana Castro Martins ◽

Sérgio Teixeira Duro ◽

...

Keyword(s):

Spinal Cord ◽

Septic Arthritis ◽

Rare Case ◽

Epidural Abscess ◽

Facet Joint ◽

Spinal Epidural Abscess ◽

Spinal Epidural

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Anterior spinal epidural abscess due to Salmonella typhi: a report of a rare case treated conservatively and review of the literature

Neurological Sciences ◽

10.1007/s10072-013-1409-6 ◽

2013 ◽

Vol 34 (11) ◽

pp. 2051-2052

Author(s):

Antonio Nardone ◽

Federico Caporlingua ◽

Gennaro Lapadula ◽

Antonio Santoro

Keyword(s):

Rare Case ◽

Epidural Abscess ◽

Salmonella Typhi ◽

Spinal Epidural Abscess ◽

Review Of The Literature ◽

Spinal Epidural

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Management of an extensive spinal epidural abscess from C-1 to the sacrum

Journal of Neurosurgery Spine ◽

10.3171/2010.5.spine09545 ◽

2010 ◽

Vol 13 (6) ◽

pp. 780-783 ◽

Cited By ~ 15

Author(s):

Muhammad Z. Tahir ◽

Rameez Ul Hassan ◽

S. Ather Enam

Keyword(s):

Lower Limb ◽

Rare Case ◽

Epidural Abscess ◽

Spinal Epidural Abscess ◽

Low Grade ◽

Limb Weakness ◽

Minimally Invasive Surgical ◽

Lower Limb Weakness ◽

Whole Spine ◽

Spinal Epidural

The authors report a rare case of extensive spinal epidural abscess in an immunocompromised young woman. The patient presented with low-grade fever, back pain, and progressive lower limb weakness. The MR imaging of her whole spine revealed an epidural abscess extending from C-1 to the sacrum. She was treated using a minimally invasive surgical technique and showed excellent recovery. The authors review the current literature along with different modes of surgical treatment available for this unusual clinical entity.

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Spinal Epidural Abscess in Melioidosis: A Rare Case Report from Eastern India

Cureus ◽

10.7759/cureus.4187 ◽

2019 ◽

Author(s):

Vinay Prabhat ◽

Amrit Gantaguru ◽

Sudarsan Behera ◽

Rajesh Rana ◽

Gurudip Das

Keyword(s):

Case Report ◽

Rare Case ◽

Epidural Abscess ◽

Spinal Epidural Abscess ◽

Eastern India ◽

Rare Case Report ◽

Spinal Epidural

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A rare case of spinal epidural abscess: diagnostic challenges and rehabilitation outcomes

Balneo Research Journal ◽

10.12680/balneo.2020.354 ◽

2020 ◽

Vol 11 (Vol.11, no.3) ◽

pp. 288-293

Author(s):

Vitalie VĂCĂRAȘ ◽

Cristian ABRUDAN ◽

Silvina ILUȚ ◽

Imelda RAHOVAN ◽

Ronela POPA ◽

...

Keyword(s):

Rare Case ◽

Epidural Abscess ◽

Rehabilitation Program ◽

Neurological Deficits ◽

Lumbar Pain ◽

Spinal Epidural Abscess ◽

Rehabilitation Outcomes ◽

Rehabilitation Programs ◽

Considerable Morbidity ◽

Spinal Epidural

Introduction: Spinal epidural abscess is a rare clinical entity with considerable morbidity. Even with prompt diagnosis and treatment, many patients are left with persistent residual neurological deficits. Case report: The purpose of this article is to report a rare case of primary pyogenic spinal epidural abscess. The patient admitted to our clinic because of lumbar pain of increasing severity and fever. Case management consisted of surgical and medical treatment with antibiotics. Postoperatively, with proper rehabilitation program, he markedly improved. Conclusions: Despite a correct management, spinal epidural abscess is associated with a high degree of morbidity and mortality. Proper treatment, rehabilitation programs and long-term follow-up is critical for a better outcome.

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