Aggregatibacter aphrophilus spinal epidural abscess

2020 ◽  
Vol 13 (7) ◽  
pp. e235320
Author(s):  
Antoine Altdorfer ◽  
Pierre Gavage ◽  
Filip Moerman
Keyword(s):  
Risk Factors ◽  
Lower Limb ◽  
Rare Case ◽  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Surgical Drainage ◽  
Eikenella Corrodens ◽  
Aggregatibacter Aphrophilus ◽  
Progressive Neurological Deficit ◽  
Spinal Epidural

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.

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

2010 ◽  
Vol 13 (6) ◽  
pp. 780-783 ◽  
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.

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

2008 ◽  
Vol 19 (3) ◽  
pp. 250-252 ◽  
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.

scholarly journals Mount Fuji sign following surgical drainage of spinal epidural abscess: Figure 1.

QJM ◽  
2015 ◽  
Vol 108 (10) ◽  
pp. 835-836
Author(s):  
I.E. Gokmen ◽  
S. Keskin ◽  
D. Kıresi ◽  
H. Erdoğan
Keyword(s):  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Surgical Drainage ◽  
Mount Fuji ◽  
Spinal Epidural

scholarly journals Cervical spondylodiscitis with spinal epidural abscess caused by Aggregatibacter aphrophilus

2008 ◽  
Vol 57 (5) ◽  
pp. 652-655 ◽  
Author(s):  
Leonella Pasqualini ◽  
Antonella Mencacci ◽  
Anna Maria Scarponi ◽  
Christian Leli ◽  
Gianluigi Fabbriciani ◽  
...  
Keyword(s):  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Source Of Infection ◽  
Cervical Spondylodiscitis ◽  
Aggregatibacter Aphrophilus ◽  
Unusual Condition ◽  
Periodontal Infection ◽  
Spinal Epidural ◽  
Systemic Antibiotics ◽  
Predisposing Conditions

Spondylodiscitis caused by Aggregatibacter aphrophilus, formerly known as Haemophilus paraphrophilus, is an unusual condition and can be very difficult to diagnose. We report a case of cervical spondylodiscitis complicated by spinal epidural abscess in a 63-year-old woman, without underlying predisposing conditions. The source of infection was identified as a periodontal infection. The patient was successfully treated with systemic antibiotics.

Tuberculous spinal epidural abscess (case report and literature review)

MedAlliance ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 57-63
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Thoracic Spinal ◽  
Treat Ment ◽  
Tuberculous Abscess ◽  
Progressive Neurological Deficit ◽  
Spinal Epidural

Tuberculous spinal epidural abscess (SEA) is an uncom-mon pathology, which presents is only 2% of all SEA ca-ses. We report a rare cases of cervical-lumbar and thoracic spinal epidural tuberculous abscess occupying the spinal canal from C2–L3 and Th8–Th9 vertebrae with progressive neurological deficit. Clinical features, diagnostic and treat-ment challenges and follow-up results were presented

Medical and surgical management of spinal epidural abscess: a systematic review

2014 ◽  
Vol 37 (2) ◽  
pp. E4 ◽  
Author(s):  
Leopold Arko ◽  
Eric Quach ◽  
Vincent Nguyen ◽  
Daniel Chang ◽  
Vishad Sukul ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Management ◽  
Medical Therapy ◽  
Medical Management ◽  
Epidural Abscess ◽  
Nonoperative Treatment ◽  
Spinal Epidural Abscess ◽  
Nonsurgical Management ◽  
Significant Difference ◽  
Spinal Epidural

Object Spinal epidural abscess (SEA) is a rare condition that has previously been treated with urgent surgical decompression and antibiotics. Recent availability of MRI makes early diagnosis possible and allows for the nonoperative treatment of SEA in select patients. The first retrospective review of medically and surgically managed SEA was published in 1999, and since that time several other retrospective institutional reports have been published. This study reviews these published reports and compares pooled data with historical treatment data. Methods A PubMed keyword and Boolean search using (“spinal epidural abscess” OR “spinal epidural abscesses” AND [management OR treatment]) returned 429 results. Filters for the English language and publications after 1999 were applied, as the first study comparing operative and nonoperative management was published that year. Articles comparing operative to nonoperative treatment strategies for SEA were identified, and the references were further reviewed for additional articles. Studies involving at least 10 adult patients (older than 18 years) were included. Case reports, studies reporting either medical or surgical management only, studies not reporting indications for conservative management, or studies examining SEA as a result of a specific pathogen were excluded. Results Twelve articles directly comparing surgical to nonsurgical management of SEA were obtained. These articles reported on a total of 1099 patients. The average age of treated patients was 57.24 years, and 62.5% of treated patients were male. The most common pathogens found in blood and wound cultures were Staphylococcus aureus (63.6%) and Streptococcus species (6.8%). The initial treatment was surgery in 59.7% of cases and medical therapy in 40.3%. This represented a significant increase in the proportion of medically managed patients in comparison with the historical control prior to 1999 (p < 0.05). Patients with no neurological deficits were significantly more likely to be treated medically than surgically (p < 0.05). There was no statistically significant difference overall between surgical and nonsurgical management, although several risk factors may predict failure of medical management. Conclusions . Since the first reports of nonoperative treatment of SEA, there has been a substantial trend toward treating neurologically intact patients with medical management. Nevertheless, medical therapy fails in a fair number of cases involving patients with specific risk factors, and patients with these risk factors should be closely observed in consideration for surgery. Further research may help identify patients at greater risk for failure of medical therapy.

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

Spine ◽  
2010 ◽  
Vol 35 (2) ◽  
pp. E53-E56 ◽  
Author(s):  
Haitham Elsamaloty ◽  
Mohamed Elzawawi ◽  
Ahmad Abduljabar
Keyword(s):  
Diabetic Patient ◽  
Rare Case ◽  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Spinal Epidural

scholarly journals Tuberculous lumbar spinal epidural abscess in a young adult (case report)

SICOT-J ◽  
2018 ◽  
Vol 4 ◽  
pp. 5
Author(s):  
Ghazwan Abdulla Hasan ◽  
Saif Mohammed Kani ◽  
Ahmed Alqatub
Keyword(s):  
Case Report ◽  
Lower Limb ◽  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Mri Scan ◽  
Limb Weakness ◽  
Lower Limb Weakness ◽  
Lumbar Spinal ◽  
Spinal Epidural

Introduction: Spinal Epidural abscess (SEA) is an uncommon pathology that needs an urgent intervention to decompress the pressure on the spinal epidural sac, cord, and roots. The authors report a rare case of a young adult with lumbar spinal epidural tuberculous abscess occupying the spinal canal from L2–L5 vertebrae with extesion to the posterior paraspinal muscles and presenting with bilateral progressive lower limb weakness.   Case report: A 42 years old male teacher presented with a 15-day history of progressive difficulty to walking and bilateral lower limb weakness associated with fever, malaise and later on urinary incontinence. A magnetic resonance imaging (MRI) scan revealed a paraspinal intermuscular abscess and an abscess occupying the spinal canal compressing the dural sac from L2–L4/5, without any signs of vertebral involvement. Surgery was done by a posterior midline incision. Pus was evacuated from multiple pockets through the paraspinal muscle layers. Laminectomy for L3/4, and hemilaminectomy for L2/3, and L4/5 were performed. Pus and bone specimens were negative for acid-fast bacilli. However, both histopathological studies and Polymerase Chain Reaction (PCR) testing confirmed the presence of tuberculosis (TB). The patient received TB antibiotics, and a follow-up MRI scan at 2 months showed complete evacuation of the abscess. However, signs of L5 spondylitis were evident. No further surgery was needed as there was no vertebral collapse or neural compression and the patient's clinical condition was improving. He had normal right lower limb power and sensation and grade 4+ motor power of the left lower limb. Bowels and bladder function was normal. Conclusion: Isolated tuberculous spinal epidural abscess is a rare disease and should be treated urgently with evacuation and decompression. Signs of spondylitis or spondylodiscitis may appear later and therefore long follow up is recommended in tuberculous cases presenting with an isolated epidural abscess.

Epidural Abscess

2016 ◽  
Author(s):  
David Mabey
Keyword(s):  
Back Pain ◽  
Surgical Treatment ◽  
Early Diagnosis ◽  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Surgical Drainage ◽  
Stable Patient ◽  
Common Presentation ◽  
Spinal Epidural

An epidural abscess is a collection of pus that has accumulated between the dura and the calvarium or spine. It is rare but can lead to severe neurologic dysfunction or death. There are two main subsets of epidural abscess: spinal epidural abscess (SEA) and intracranial epidural abscess (ICEA). Early diagnosis is key to minimizing complications. Back pain is the most common presentation of SEA, along with spinal tenderness. Treatment requires prolonged hospitalization, surgical drainage in most cases, and long-term antibiotics. Except in rare cases, patients with SEA and ICEA will require hospital admission. In the stable patient, antibiotics should be withheld until culture data can be obtained. If surgical treatment is not readily available, biopsy is often performed to obtain samples for culture before starting antibiotics.

Sign in / Sign up

Export Citation Format

Share Document