Cervical epidural abscess and vertebral osteomyelitis following non-traumatic oesophageal rupture: a case report and discussion.
We present the case of a 62-year-old gentleman who presented with an epidural abscess and vertebral osteomyelitis secondary to a spontaneous rupture of the oesophagus. The causative organisms were Candida and Lactobacillus. This has not been recorded previously in the literature. Cases of vertebral osteomyelitis and epidural abscess secondary to oesophageal rupture are rare, and diagnosis is often delayed.
Metcalfe
Stephen
S
Department of Neurosurgery, James Cook University Hospital, Marton Road, Middlesbrough, UK. s.metcalfe@doctors.org.uk
Morgan-Hough
Clare
C
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002175:Candida; D002177:Candidiasis / Q000175:diagnosis; D002574:Cervical Vertebrae / Q000382:microbiology* / Q000601:surgery; D020802:Epidural Abscess / Q000175:diagnosis* / Q000382:microbiology*; D004935:Esophageal Diseases / Q000150:complications*; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis; D006801:Humans; D007778:Lactobacillus; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000175:diagnosis* / Q000382:microbiology*; D012422:Rupture, Spontaneous
D000900:Anti-Bacterial Agents