A Unique Presentation of a Large, Seven-segment, Spinal Epidural Abscess in a Patient with a Pleural Empyema

被引：2
作者：
Barner, Kyle L. [1 ]
Yuquimpo, Kyle M. [1 ]
McMillan, David A. [1 ]
Shaw, Evan M. [2 ]
机构：
[1] Kansas City Univ Med & Biosci, Internal Med, Kansas City, KS 64106 USA
[2] Hosp Based Med, Res Med Ctr, Internal Med, Lawrence, KS USA
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2019年 / 11卷 / 02期
关键词：
spinal epidural abscess; epidural abscess; motor weakness; paresthesias; spinal canal; infection; pyogenic infection; spinal cord compression;
D O I：
10.7759/cureus.4084
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Spinal epidural abscesses are insidious infections spread via hematologic, contiguous, or iatrogenic routes. On average, spinal epidural abscesses span two to four vertebral segments and are most commonly localized to the thoracic region. Fever, back pain, and neurological deficits are the most common clinical manifestations. However, the triad of these findings are not always detected. Patients may present with subtle symptoms leading to misdiagnosis and poor prognosis. We present a case of a large, anteriorly located, spinal epidural abscess in a patient originally admitted for dyspnea and confusion.
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页数：6
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