scholarly journals A rare etiology of cauda equina syndrome

2010 ◽  
Vol 5 (01) ◽  
pp. 079-082 ◽  
Author(s):  
Sumit Batra ◽  
Sumit Arora ◽  
Hemant Meshram ◽  
Geetika Khanna ◽  
Shabnam B Grover ◽  
...  
Keyword(s):  
Cauda Equina Syndrome ◽  
English Language ◽  
Medical Literature ◽  
Epidural Abscess ◽  
Fungal Infections ◽  
Cauda Equina ◽  
Immunocompetent Patient ◽  
Spinal Epidural Abscess ◽  
Oral Itraconazole ◽  
Spinal Epidural

Fungal infections of the spine are very rare and usually seen in immunocompromised patients. Acute cauda equina syndrome presenting in an immunocompetent patient is usually due to a prolapse of the intervertebral disc. Infective pathology caused by Mycobacterium tuberculosis with epidural collection can also have a similar presentation. We present a case of spinal epidural abscess caused by Aspergillus fumigatus, presenting as acute cauda equina syndrome. To the best of our knowledge, spinal aspergillosis presenting as cauda equina syndrome in an immunocompetent patient has not been reported before in the English-language based medical literature. Surgical decompression with antifungal treatment with oral itraconazole yielded a good recovery.

scholarly journals Tubercular spinal epidural abscess involving the dorsal-lumbar-sacral region without osseous involvement

2011 ◽  
Vol 5 (07) ◽  
pp. 544-549 ◽  
Author(s):  
Sumit Arora ◽  
Ramesh Kumar
Keyword(s):  
English Language ◽  
Medical Literature ◽  
Epidural Abscess ◽  
Cauda Equina ◽  
Uneventful Recovery ◽  
Spinal Epidural Abscess ◽  
Vertebral Level ◽  
Osseous Involvement ◽  
Vertebral Involvement ◽  
Spinal Epidural

Musculoskeletal tuberculosis is known for its ability to present in various forms and guises at different sites. Tubercular spinal epidural abscess (SEA) is an uncommon infectious entity. Its presence without associated osseous involvement may be considered an extremely rare scenario. We present a rare case of tubercular SEA in an immune-competent 35-year-old male patient. The patient presented with acute cauda equina syndrome and was shown to have multisegmental SEA extending from D5 to S2 vertebral level without any evidence of vertebral involvement on MRI. The patient made an uneventful recovery following surgical decompression and antitubercular chemotherapy. The diagnosis was confirmed by histopathological demonstration of Mycobacterium tuberculosis in drained pus. Such presentation of tubercular SEA has not been reported previously in the English language based medical literature to the best of our knowledge

scholarly journals Community-Acquired MRSA Pyomyositis: Case Report and Review of the Literature

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Douglas P. Olson ◽  
Sarita Soares ◽  
Sandhya V. Kanade
Keyword(s):  
Epidural Abscess ◽  
Surgical Intervention ◽  
Cauda Equina ◽  
Spinal Epidural Abscess ◽  
Paraspinal Muscles ◽  
Sensory Deficits ◽  
Antibiotic Management ◽  
History Of ◽  
Spinal Epidural ◽  
Repeat Imaging

Community-acquired methicillin-resistantStaphylococcus aureus(CA-MRSA) is responsible for a broad range of infections. We report the case of a 46-year-old gentleman with a history of untreated, uncomplicated Hepatitis C who presented with a 2-month history of back pain and was found to have abscesses in his psoas and right paraspinal muscles with subsequent lumbar spine osteomyelitis. Despite drainage and appropriate antibiotic management the patient's clinical condition deteriorated and he developed new upper extremity weakness and sensory deficits on physical exam. Repeat imaging showed new, severe compression of the spinal cord and cauda equina from C1 to the sacrum by a spinal epidural abscess. After surgical intervention and continued medical therapy, the patient recovered completely. This case illustrates a case of CA-MRSA pyomyositis that progressed to lumbar osteomyelitis and a spinal epidural abscess extending the entire length of the spinal canal.

scholarly journals Community-Acquired Serratia Marcescens Spinal Epidural Abscess in a Patient Without Risk Factors: Case Report and Review

2008 ◽  
Vol 19 (3) ◽  
pp. 250-252 ◽  
Author(s):  
Michael D Parkins ◽  
Daniel B Gregson
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Serratia Marcescens ◽  
Immune Suppression ◽  
Epidural Abscess ◽  
Cauda Equina ◽  
Invasive Disease ◽  
Spinal Epidural Abscess ◽  
Medical Comorbidities ◽  
Spinal Epidural

Serratia marcescenshas rarely been reported as an agent of invasive disease in patients presenting from the community. Furthermore,S marcescensis frequently opportunistic, affecting individuals with serious medical comorbidities including immune suppression and diabetes. A case of a community-acquiredS marcescensspontaneous lumbar epidural abscess presenting as cauda equina syndrome is reported in a previously well 36-year-old man with no identifiable risk factors. To the authors’ knowledge, this is the first report of invasiveS marcescenscausing disease in a patient with no medical comorbidities.

scholarly journals Spinal Epidural Abscess İn An Adolescent (Case Report)

2021 ◽  
Author(s):  
Meryem Badem ◽  
Serpil Ugur Baysal ◽  
İlknur Karyağdı ◽  
Nusret Oren ◽  
Hamit Selim Karabekir ◽  
...  
Keyword(s):  
Medical Literature ◽  
Epidural Abscess ◽  
Surgical Intervention ◽  
Neurological Deficits ◽  
Spinal Epidural Abscess ◽  
Spinal Magnetic Resonance Imaging ◽  
Serious Infection ◽  
English Medical Literature ◽  
Spinal Epidural ◽  
Systemic Antibiotics

Spinal infections in immunocompetent children are very rare. But it is a serious infection in the epidural space along the spinal cord. It should be considered in patients with backache, fever, neurological deficits and/or spinal tenderness. There are cases which an etiology could not determined. In the English medical literature, there are only 31 reported pediatric cases in the last two decades. In children with neurologic deficits, surgery combined with systemic antibiotics constitutes the optimal therapy. We report a case of thoracal spinal epidural abscess in a 12-year-old adolescent boy who was immunocompetent and presented with spinal tenderness, back pain and four days of fever. A spinal magnetic resonance imaging demonstrated an epidural abscess between T2 and T10 level. An emergent surgical intervention was applied. Cultures remained negative. He was given systemic antibiotics for six weeks. He recovered without any sequelae.

Spinal epidural abscess caused by Streptococcus agalactiae in an immunocompetent patient

2019 ◽  
Vol 153 (7) ◽  
pp. 290-292
Author(s):  
Marta Vales Montero ◽  
Olga Mateo Sierra ◽  
Julia Romero Martínez ◽  
Fernando Fortea Gil ◽  
Carlos Fernández Carballal ◽  
...  
Keyword(s):  
Streptococcus Agalactiae ◽  
Epidural Abscess ◽  
Immunocompetent Patient ◽  
Spinal Epidural Abscess ◽  
Spinal Epidural

Chronic Spinal Epidural Abscess Caused by Scedosporium prolificans in an Immunocompetent Patient

Spine ◽  
2009 ◽  
Vol 34 (9) ◽  
pp. E330-E332 ◽  
Author(s):  
Francisco Javier Carod-Artal ◽  
Luciane Ferreira-Coral ◽  
Jose Mauro-Couto ◽  
Elisangela Gomes ◽  
Marco de Agassiz-Vasques
Keyword(s):  
Epidural Abscess ◽  
Immunocompetent Patient ◽  
Spinal Epidural Abscess ◽  
Scedosporium Prolificans ◽  
Spinal Epidural

scholarly journals Epidural abscess related to Streptococcus mitis in a 57-year-old immunocompetent patient

2021 ◽  
Vol 14 (4) ◽  
pp. e239295
Author(s):  
Marc Prod'homme ◽  
Didier Grasset ◽  
Marc Chalaron ◽  
Duccio Boscherini
Keyword(s):  
Epidural Abscess ◽  
Immunocompetent Patient ◽  
Lumbar Pain ◽  
Spinal Epidural Abscess ◽  
Good Recovery ◽  
Streptococcus Mitis ◽  
Lumbar Mri ◽  
Spinal Epidural ◽  
Inflammatory Syndrome ◽  
Neurologically Intact

A 57-year-old immunocompetent male patient presented himself to our emergency department with lumbar pain for 10 days, after a lumbar torsion. He was neurologically intact, but showed signs of systemic inflammatory syndrome. A lumbar MRI found a spinal epidural abscess from L3-L4 to L5-S1 levels. The patient was operated early before occurrence of neurological deficit. The abscess cultures found a Streptococcus mitis infection. The patient made a good recovery after surgical decompression, washout with samples taken for cultures and targeted antibiotic therapy for 6 weeks.

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