scholarly journals Spontaneous, Non-Traumatic Retropharyngeal Abscess Complicated by Spinal Osteomyelitis and Epidural Abscess in Immunocompetent Adult: Management and Proposal Pathophysiological Mechanism

Cureus ◽  
2020 ◽  
Author(s):  
Giorgos Sideris ◽  
Thomas Nikolopoulos ◽  
Nikolaos Papadimitriou
Keyword(s):  
Epidural Abscess ◽  
Retropharyngeal Abscess ◽  
Pathophysiological Mechanism ◽  
Immunocompetent Adult ◽  
Spinal Osteomyelitis

scholarly journals Retropharyngeal abscess with secondary osteomyelitis and epidural abscess: proposed pathophysiological mechanism of an underrecognized complication of unstable craniocervical injuries: case report

2016 ◽  
Vol 24 (1) ◽  
pp. 197-205 ◽  
Author(s):  
Carlos R. Goulart ◽  
Tobias A. Mattei ◽  
Mariano E. Fiore ◽  
William J. Thoman ◽  
Ehud Mendel
Keyword(s):  
Secondary Infection ◽  
Traumatic Injury ◽  
Specific Area ◽  
High Energy ◽  
Immunocompetent Patient ◽  
Craniocervical Junction ◽  
Retropharyngeal Abscess ◽  
Pathophysiological Mechanism ◽  
Delayed Presentation ◽  
Spinal Osteomyelitis

Because of the proximity of the oropharynx (a naturally contaminated region) to the spinal structures of the craniocervical junction, it is possible that small mucosal lacerations in the oropharynx caused by unstable traumatic craniocervical injuries may become contaminated and lead to secondary infection and osteomyelitis. In this report, the authors describe the case of a previously healthy and immunocompetent patient who developed a large retropharyngeal abscess with spinal osteomyelitis after a high-energy craniocervical injury. This unusual report of osteomyelitis with a delayed presentation after a high-energy traumatic injury of the craniocervical junction highlights the possibility of direct injury to a specific area in the oropharyngeal mucosa adjacent to the osteoligamentous structures of the craniocervical junction, an overall underrecognized complication of unstable craniocervical injuries.

Retropharyngeal Abscess Associated with Progressive Quadriplegia, an Epidural Abscess, Renal Failure, and Jaundice

1984 ◽  
Vol 92 (1) ◽  
pp. 114-118 ◽  
Author(s):  
Charles F. Koopmann ◽  
Roger W. Miller ◽  
Stanley W. Coulthard
Keyword(s):  
Renal Failure ◽  
Epidural Abscess ◽  
Retropharyngeal Abscess

scholarly journals A Case of Spinal Epidural Abscess Associated with Retropharyngeal Abscess

2002 ◽  
Vol 105 (11) ◽  
pp. 1143-1146 ◽  
Author(s):  
Tatsuya Fujiyoshi ◽  
Kyoya Goto ◽  
Teruo Shiomori ◽  
Tsuyoshi Udaka ◽  
Akiko Sakabe ◽  
...  
Keyword(s):  
Epidural Abscess ◽  
Retropharyngeal Abscess ◽  
Spinal Epidural Abscess ◽  
Spinal Epidural

Clivus and cervical spinal osteomyelitis with epidural abscess presenting with multiple cranial neuropathies

1995 ◽  
Vol 97 (3) ◽  
pp. 239-244 ◽  
Author(s):  
S. Ausim Azizi ◽  
Pierre B. Fayad ◽  
Robert Fulbright ◽  
Monique L. Giroux ◽  
Stephen G. Waxman
Keyword(s):  
Epidural Abscess ◽  
Spinal Osteomyelitis ◽  
Cranial Neuropathies

ACUTE CENTRAL CORD SYNDROME ARISING FROM A CERVICAL EPIDURAL ABSCESS

Neurosurgery ◽  
2007 ◽  
Vol 61 (2) ◽  
pp. E424-E424 ◽  
Author(s):  
Robert Trombly ◽  
James D. Guest
Keyword(s):  
Clinical Presentation ◽  
Epidural Abscess ◽  
Motor Evoked Potentials ◽  
Spinal Epidural Abscess ◽  
Minor Trauma ◽  
Left Hand ◽  
Cord Injury ◽  
Central Cord Syndrome ◽  
Spinal Osteomyelitis ◽  
Spinal Epidural

Abstract OBJECTIVE Acute central cord syndrome (ACCS) is a well-known sequela to spinal trauma but has rarely been associated with nontraumatic etiologies. Spinal epidural abscess (SEA) and spinal osteomyelitis/discitis are also well characterized clinical entities. Neither SEA nor osteomyelitis leading to ACCS has been previously reported. CLINICAL PRESENTATION In this report, a patient presented with refractory neck pain after minor trauma followed by development of left hand weakness and paresthesia, which progressed to a classic central cord injury clinical pattern over a period of 4 weeks. INTERVENTION Imaging and laboratory studies were consistent with SEA and osteomyelitis. Motor evoked potentials obtained during surgery definitively corroborated the clinical diagnosis of ACCS and supported a long tract pathophysiology. CONCLUSION ACCS may be caused by SEA.

scholarly journals Polyarticular Septic Arthritis in an Immunocompetent Adult: A Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Annelise Miller ◽  
Fahad Abduljabbar ◽  
Peter Jarzem
Keyword(s):  
Staphylococcus Aureus ◽  
Case Report ◽  
Septic Arthritis ◽  
Epidural Abscess ◽  
Vertebral Osteomyelitis ◽  
Limited Range ◽  
Left Shoulder ◽  
Immunocompetent Adult ◽  
Limited Range Of Motion ◽  
Healthy Adult Male

Septic arthritis is a clinical emergency requiring prompt diagnosis and treatment to avoid significant morbidity and mortality. Polyarticular septic arthritis (PASA) accounts for 15% of all infectious arthritides and rarely occurs in immunocompetent adults.Staphylococcus aureusis the most commonly isolated organism, with infection primarily affecting knees, shoulders, elbows, and hips. The morbidity associated with PASA is very high, and mortality in treated cases of PASA may be as high as 50% of cases. We report a case of PASA with associated epidural abscess in a healthy adult male, who presented with complaints of arthralgia and limited range of motion of his left shoulder, wrist, and ankle. He also presented with low back pain and motor weakness associated with an epidural abscess spanning L2-S1, with multilevel vertebral osteomyelitis. Surgical washout of the affected joints as well as decompressive laminectomies was performed, and he received a standard course of intravenous antibiotics.Staphylococcus aureuswas isolated from joint aspirations and from blood cultures. The patient had a full neurological and functional recovery postoperatively with no sequelae. To the best of our knowledge this is the only case report ofStaphylococcus aureusPASA with concomitant epidural abscess in an immunocompetent adult.

CERVICAL SPINAL OSTEOMYELITIS WITH EPIDURAL ABSCESS: A RARE COMPLICATION AFTER INTERFERON THERAPY FOLLOWING ACUTE PYELONEPHRITIS

Nephrology ◽  
2007 ◽  
Vol 12 (4) ◽  
pp. 418-419 ◽  
Author(s):  
JIUNG-HSIUN LIU ◽  
PO-WEN LIN ◽  
YAO-LUNG LIU ◽  
PEN-YUAN LIAO
Keyword(s):  
Acute Pyelonephritis ◽  
Interferon Therapy ◽  
Epidural Abscess ◽  
Rare Complication ◽  
Spinal Osteomyelitis
Sign in / Sign up

Export Citation Format

Share Document