[Spinal epidural abscess as a complication of a finger infection].
An 81-year-old man was treated with intravenous antibiotics for a soft tissue infection in a finger. Despite adequate antibiotic treatment, he developed signs of spinal cord injury caused by a cervical spinal epidural abscess. An emergency laminectomy was performed. The neurological impairment appeared to be irreversible, and the patient died. Spinal epidural abscess is a rare and serious complication ofa bacteraemia. It is often caused by an infection of the skin or soft tissue with Staphylococcus aureus. Given the risk of rapidly progressive and irreversible neurological damage, this complication must be treated as soon as possible. The treatment of choice is surgery. Conservative management with intravenous antibiotics is an option only under strict conditions.
Ridderikhof
M L
ML
Afd. Intensive Care, Isala klinieken, Zwolle. milanridd@gmail.com
van den Brink
W A
WA
van Dalsen
A D
AD
Kieft
H
H
D000038:Abscess / Q000175:diagnosis* / Q000601:surgery; D000369:Aged, 80 and over; D017809:Fatal Outcome; D006801:Humans; D007796:Laminectomy / Q000379:methods; D008297:Male; D013122:Spinal Diseases / Q000175:diagnosis* / Q000601:surgery; D013203:Staphylococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000601:surgery