Lumbar epidural abscess caused by brucella species: report of two cases.
Spinal epidural abscess due to Brucella species is usually associated with spondylodiscitis. Urgent surgical decompression should be performed in cases with moderate to severe neurological deficits particularly if progressive. We report clinical features of two cases operated for lumbar epidural abscess caused by Brucella species. Early surgical decompression combined with medical treatment could decrease progression of neurological findings or the severity of complications. Iatrogenic dural tear at the operation should be repaired immediately with fine sutures and fibrin tissue glue to prevent further innoculation into the cerebrospinal axis. These cases should be cautiously followed for any recurrence or neurobrucellosis.
Daglioglu
Ergun
E
Neurosurgery clinics, Ankara Numune Education and Research Hospital, Ankara, Turkey.
Bayazit
N
N
Okay
O
O
Dalgic
A
A
Hatipoglu
H G
HG
Ergungor
F
F
D000328:Adult; D002002:Brucella / Q000472:pathogenicity*; D002006:Brucellosis / Q000150:complications* / Q000473:pathology; D019299:Decompression, Surgical; D015299:Discitis / Q000209:etiology / Q000382:microbiology; D020802:Epidural Abscess / Q000209:etiology / Q000382:microbiology; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000473:pathology*; D008297:Male; D008875:Middle Aged