A rare aetiology of spinal epidural abscess

被引：2

作者：

Sheoran, Lata ^{[1
]}

Goel, Neeraj ^{[1
]}

Acharya, Shankar ^{[2
]}

Adsul, Nitin ^{[2
]}

Wattal, Chand ^{[1
]}

机构：

[1] Sir Gangaram Hosp, Dept Clin Microbiol & Immunol, New Delhi 110060, India

[2] Sir Gangaram Hosp, Dept Spinal Surg, New Delhi, India

来源：

INDIAN JOURNAL OF MEDICAL MICROBIOLOGY | 2019年 / 37卷 / 04期

关键词：

India; spinal infections; Streptococcus pneumonia; VERTEBRAL OSTEOMYELITIS;

D O I：

10.4103/ijmm.IJMM_19_493

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Spinal epidural abscess (SEA) due to Streptococcus pneumoniae is a rare entity, but it is associated with high mortality. Here, we describe a rare case of pneumococcal SEA in an immunocompetent adult who presented with fever, lower back pain and paresis. Central nervous system examination revealed a decreased power in bilateral lower limbs. Magnetic resonance imaging of the lumbosacral spine showed loculated pus collection in the epidural space at the level of L4-L5 vertebrae. Pus obtained following L4-L5 decompression along with blood cultures grew S. pneumoniae. The patient was treated with clindamycin and cefoperazone-sulbactam for 6 weeks, and no relapse was noted on 11 months follow-up.

引用

页码：590 / 592

页数：3

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