Prosthetic Valve Endocarditis: A Complication of Spinal Epidural Abscess

Epidural injections for chronic low back pain are controversial, and their effectiveness is debated. Although epidural injections are considered a minor procedure with low morbidity, catastrophic complications may occur. We describe a case of prosthetic valve endocarditis secondary to an epidural abscess after epidural injection to alert clinicians to this unusual association.

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Candida albicans spinal epidural abscess secondary to prosthetic valve endocarditis

Diagnostic Microbiology and Infectious Disease ◽

10.1016/s0732-8893(01)00252-8 ◽

2001 ◽

Vol 40 (3) ◽

pp. 121-123 ◽

Cited By ~ 6

Author(s):

Ja-Der Liang ◽

Chi-Tai Fang ◽

Yee-Chun Chen ◽

Shan-Chwen Chang ◽

Kwen-Tay Luh

Keyword(s):

Candida Albicans ◽

Prosthetic Valve ◽

Epidural Abscess ◽

Prosthetic Valve Endocarditis ◽

Spinal Epidural Abscess ◽

Spinal Epidural

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Rapidly Progressive Spontaneous Spinal Epidural Abscess

Case Reports in Infectious Diseases ◽

10.1155/2016/7958291 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4

Author(s):

Abdurrahman Aycan ◽

Ozgür Yusuf Aktas ◽

Feyza Karagoz Guzey ◽

Azmi Tufan ◽

Cihan Isler ◽

...

Keyword(s):

Epidural Abscess ◽

Delayed Diagnosis ◽

Clinical Findings ◽

Neurological Deficits ◽

Spinal Epidural Abscess ◽

Low Back ◽

Resonance Imaging ◽

Magnetic Resonance Imaging Mri ◽

Paraspinal Abscess ◽

Spinal Epidural

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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Serratia marcescens Spinal Epidural Abscess Following Caudal Epidural Injection

The Journal of the Korean Orthopaedic Association ◽

10.4055/jkoa.2017.52.4.359 ◽

2017 ◽

Vol 52 (4) ◽

pp. 359

Author(s):

Chang-Eon Yu ◽

Byeong-Yeol Choi ◽

Kyung-Tae Kim ◽

Young-Chul Park

Keyword(s):

Serratia Marcescens ◽

Epidural Abscess ◽

Epidural Injection ◽

Spinal Epidural Abscess ◽

Spinal Epidural ◽

Caudal Epidural

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Diskitis, Osteomyelitis, Spinal Epidural Abscess, Meningitis, and Endocarditis Following Sacroiliac Joint Injection for the Treatment of Low-Back Pain in a Patient on Therapy for Hepatitis C Virus

Regional Anesthesia and Pain Medicine ◽

10.1097/aap.0000000000000608 ◽

2017 ◽

Vol 42 (4) ◽

pp. 517-520 ◽

Cited By ~ 2

Author(s):

Geeta Nagpal ◽

John P. Flaherty ◽

Honorio T. Benzon

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Hepatitis C Virus ◽

Hepatitis C ◽

Sacroiliac Joint ◽

Epidural Abscess ◽

Spinal Epidural Abscess ◽

Low Back ◽

Joint Injection ◽

Spinal Epidural

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Aggregatibacter aphrophilus spinal epidural abscess

BMJ Case Reports ◽

10.1136/bcr-2020-235320 ◽

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.

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