title: Citrobocter kasori spinal epidural abscess: a rare occurrence.
abstract: Pyogenic spinal epidural abscess Is an uncommon Infectious occurrence. Clinical prospects of pyogenic spinal epidural abscess are graver if not promptly diagnosed and treated appropriately. A case of spinal epidural abscess has been presented with sinus tract formation at L4-L5 level, of pyogenic aetiology that progressed to paraplegia over the course of the disease. MRI pointed towards an epidural abscess extending from T12 vertebral level to S1 vertebral level. Surgical decompression in the form of laminectomy and evacuation of pus was done and antibiotics were given according to culture and sensitivity. Histopathological analysis revealed the acute suppurative nature of the abscess. Citrobacter kasori was isolated on pus culture. Pyogenic epidural abscess with causative organism being Citrobacter kasori has least been documented.
authors.affiliation: Department of Orthopaedics and Traumatology, Mahatma Gandhi Institute of Medical Sciences, Sewagram 442102, India.
authors.forename: Ashok
authors.initials: A
authors.lastname: Kumar
authors.forename: Pramod
authors.initials: P
authors.lastname: Jain
authors.forename: Pritish
authors.initials: P
authors.lastname: Singh
authors.forename: Rupam
authors.initials: R
authors.lastname: Divthane
authors.forename: C M
authors.initials: CM
authors.lastname: Badole
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D041041:Citrobacter koseri / Q000302:isolation & purification*; D019299:Decompression, Surgical / Q000379:methods*; D020802:Epidural Abscess / Q000150:complications / Q000382:microbiology / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D007796:Laminectomy; D008159:Lumbar Vertebrae / Q000473:pathology; D008279:Magnetic Resonance Imaging; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D013492:Suppuration / Q000503:physiopathology*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents