title: Rapidly progressive lumbar subdural empyema following acromial bursal injection.
abstract: Spinal subdural empyemas are rare. We describe a 53-year-old male who presented with back pain, mental status changes, and sepsis. Five days prior he had undergone a triamcinolone and lidocaine injection of the acromial bursa. He also had a remote history of epidural steroid injection for thoracic back pain. Two lumbar MRI conducted 62 hours apart revealed a newly developed subdural empyema that was successfully treated with surgical evacuation and post-operative antibiotics.
authors.affiliation: Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
authors.forename: Jean-Valery C E
authors.initials: JV
authors.lastname: Coumans
authors.forename: Brian P
authors.initials: BP
authors.lastname: Walcott
mesh_terms: D013354:Empyema, Subdural / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007268:Injections, Epidural / Q000009:adverse effects*; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged