Spinal epidural abscess: a rare complication of olecranon bursitis

被引:0
作者
Evans, Rhys D. R.
Thaya, Moe
Chew, Ne Siang
Gibbons, Charles E. R. [1 ]
机构
[1] Chelsea & Westminster Hosp, Dept Orthopaed, 369 Fulham Rd, London SW10 9NH, England
关键词
spinal epidural abscess; olecranon; bursitis; Staphylococcus aureus;
D O I
10.4081/or.2009.e1
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Spinal epidural abscess is a rare but potentially fatal condition if left untreated. We report the case of a 67-year old man who presented to the Accident and Emergency department complaining of acute onset of inter-scapular back pain, left leg weakness and loss of sensation in the left foot. On examination he was found to be pyrexial with long tract signs in the left lower leg. In addition he had a left sided olecranon bursitis of three weeks duration. Blood tests revealed raised inflammatory markers and a staphylococcal bacteremia. Magnetic resonance imaging (MRI) confirmed the diagnosis of spinal epidural abscess and he subsequently underwent a three level laminectomy with good resolution of his back pain and neurological symptoms. He has made a complete recovery with a prolonged course of intravenous antibiotics.
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页码:1 / 2
页数:2
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