An extensive spinal epidural abscess successfully treated conservatively.
A spinal epidural abscess (SEA) is an uncommon condition, appearing in 0.2-2 cases per 10,000 hospital admissions. Urgent surgical decompression in combination with long term antibiotics is the common treatment of choice for SEA. However, in some cases, a non-surgical treatment can also be considered. In this case report, a patient is presented with SEA extending from C2 to L3 which was successfully treated with antibiotic therapy without surgical intervention.
Van Bergen
J
J
University of Antwerp, Wilrijk, Belgium.
Plazier
M
M
Baets
J
J
Simons
P Jan
PJ
D000900:Anti-Bacterial Agents / Q000009:adverse effects / Q000627:therapeutic use*; D002574:Cervical Vertebrae / Q000473:pathology; D020802:Epidural Abscess / Q000175:diagnosis / Q000188:drug therapy*; D005436:Floxacillin / Q000627:therapeutic use*; D015391:Gastroplasty; D006801:Humans; D008159:Lumbar Vertebrae / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus; D008875:Middle Aged; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy; D011843:Radiculopathy / Q000175:diagnosis / Q000188:drug therapy; D012086:Reoperation; D013116:Spinal Cord / Q000473:pathology; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy*; D017334:Teicoplanin / Q000009:adverse effects / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D005436:Floxacillin; D017334:Teicoplanin