Cervical epidural abscess in haemodialysis patients by catheter related infection: report of two cases.
Despite advances in neuroimaging and neurosurgical treatment modalities, spinal epidural abscess remains a challenging problem. Early diagnosis is often difficult and treatment is always delayed. Spinal epidural abscess usually develops in patients with predisposing factors such as IV drug abuse, senillity, diabetes mellitus, spinal attempts, alcoholism, immunosuppression, liver diseases and catheterizations. It is rarely seen in cervical region. A successful treatment is only possible with early diagnosis and accurate surgical and medical treatment. Optimal management is unclear and morbidity and mortality are significant. We present two adult haemodialysis patients with end-stage renal insufficiency who developed cervical epidural abscess following central venous catheter placement. Early surgical intervention is mandatory in cases those have progressive neurological deficit and spinal deformity, and this is also increases the success rate of medical therapy.
Gezici
Ali Riza
AR
Department of Neurosurgery, Abant Izzet Baysal University, Bolu, Turkey.
Ergün
Rüçhan
R
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002405:Catheterization, Central Venous; D002574:Cervical Vertebrae; D020802:Epidural Abscess / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011552:Pseudomonas Infections / Q000175:diagnosis; D006435:Renal Dialysis; D013203:Staphylococcal Infections / Q000175:diagnosis
D000900:Anti-Bacterial Agents