title: Lumbosacral epidural abscess as a complication of post-injection phlegmon of the forearm. Case report.
abstract: We present the case of a 50-year-old male with lumbosacral epidural abscess as a distant iatrogenic sequella of a post-injection phlegmon of the forearm. The progressive and inconspicuous course of the illness, its complex clinical picture, neurologic manifestation in the form of cauda equina syndrome, and multidisciplinary approach to diagnosis and treatment in this patient make this case worthy of particular attention. We decided on a combined therapy consisting of surgery and pathogen-directed antibiotic treatment. Continuous follow-up confirmed therapeutic success and restoration of a normal neurologic status in this frequently fatal condition.
authors.affiliation: Klinika Neurochirurgii i Neurochirurgii Dzieciecej Pomorskiej Akademii Medycznej w Szczecinie ul. Unii Lubelskiej 1, 71-252 Szczecin.
authors.forename: Paweł
authors.initials: P
authors.lastname: Kawalec
authors.forename: Elzbieta
authors.initials: E
authors.lastname: Włodarczyk
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D020802:Epidural Abscess / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D005542:Forearm; D006801:Humans; D007049:Iatrogenic Disease; D007275:Injections, Intravenous / Q000009:adverse effects*; D008161:Lumbosacral Region / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011128:Polyradiculopathy / Q000175:diagnosis
chemical_list: D000900:Anti-Bacterial Agents