title: An intradural-extramedullary gas-forming spinal abscess in a patient with diabetes mellitus.
abstract: Spinal infections are commonly reported to be located in the extradural or intramedullary spaces. Infection involving the intradural-extramedullary space are uncommon. We report a patient with uncontrolled diabetes mellitus and an infected foot ulcer who presented with a cervical cord abscess and intradural gas. Early diagnosis and aggressive treatment are necessary for a favourable outcome in gas-forming intradural spinal abscesses. To our knowledge, a gas-forming intradural spinal abscess has not been reported previously and we discuss the relevant literature.
authors.affiliation: Department of Neurosurgery, King Edward Memorial Hospital, Seth G.S. Medical College, Parel, Mumbai 400 012, India. tdnadkarni@hotmail.com
authors.forename: Trimurti
authors.initials: T
authors.lastname: Nadkarni
authors.forename: Abhidha
authors.initials: A
authors.lastname: Shah
authors.forename: Ritesh
authors.initials: R
authors.lastname: Kansal
authors.forename: Atul
authors.initials: A
authors.lastname: Goel
mesh_terms: D000038:Abscess / Q000382:microbiology / Q000473:pathology* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000150:complications / Q000473:pathology / Q000503:physiopathology; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D019299:Decompression, Surgical; D048909:Diabetes Complications / Q000382:microbiology / Q000473:pathology*; D004388:Dura Mater / Q000382:microbiology / Q000473:pathology* / Q000601:surgery; D004926:Escherichia coli; D017809:Fatal Outcome; D016523:Foot Ulcer / Q000150:complications / Q000382:microbiology; D005740:Gases / Q000378:metabolism; D006801:Humans; D016867:Immunocompromised Host / Q000276:immunology*; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000209:etiology; D019635:Neurosurgical Procedures; D011782:Quadriplegia / Q000209:etiology; D018805:Sepsis / Q000382:microbiology; D013117:Spinal Cord Compression / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D013122:Spinal Diseases / Q000382:microbiology / Q000473:pathology* / Q000601:surgery; D013211:Staphylococcus aureus; D013355:Subdural Space / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D005740:Gases