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Spinal epidural abscess

Published online by Cambridge University Press:  21 May 2015

Amy Louis
Affiliation:
McMaster University, Hamilton, Ont.
Christopher M.B. Fernandes*
Affiliation:
Department of Emergency Medicine, McMaster University and Hamilton Health Sciences, Hamilton, Ont.
*
Emergency Medicine, Hamilton Health Sciences, 237 Barton St. E, Hamilton ON L8L 2X2

Abstract

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Spinal epidural abscess is an uncommon condition. Predisposing factors include spinal surgery, recent trauma, immunosuppression, a distal site of infection and intravenous drug use; however, these are not always present, as illustrated by this case report describing a patient who had repeated emergency department visits and delayed diagnosis that was ultimately confirmed via magnetic resonance imaging.

Type
Case Report • Observations de cas
Copyright
Copyright © Canadian Association of Emergency Physicians 2005

References

1.Reihsaus, E, Waldbaur, H, Seeling, W. Spinal epidural abscess: a meta-analysis of 915 patients. Neurosurg Rev 2000;232:175204.Google Scholar
2.Chao, D, Nanda, A. Spinal epidural abscess: a diagnostic challenge. Am Fam Physician 2002;65(7):1341–6.Google ScholarPubMed
3.Hlavin, ML, Kaminski, HJ, Ross, JS, Ganz, E. Spinal epidural abscess: a ten-year perspective. Neurosurgery 1990;27(2):177–84.CrossRefGoogle ScholarPubMed
4.Del Curling, O Jr, Gower, DJ, McWhorter, JM. Changing concepts in spinal epidural abscess: a reportof 29 cases. Neurosurgery 1990;27(2):185–92.Google Scholar
5.Nussbaum, ES, Rigamonti, D, Standiford, H, Numaguchi, Y, Wolf, AL, Robinson, WL. Spinal epidural abscess: a report of 40 cases and review. Surg Neurol 1992;38:225–31.CrossRefGoogle ScholarPubMed
6.Verner, EF, Musher, DM. Spinal epidural abscess. Med Clin North Am 1985;69(2):375–84.CrossRefGoogle ScholarPubMed
7.Soehle, M, Wallenfang, T. Spinal epidural abscess: clinical manifestations, prognostic factors, and outcomes. Neurosurgery 2002;51(1):7987.Google Scholar
8.Vilke, GM, Honingford, EA. Cervical spine epidural abscess in a patient with no predisposing risk factors. Ann Emerg Med 996;27(6):777–80.Google Scholar
9.Tortora, GJ, Grabowski, SR. Principles of anatomy and physiology. 10th ed. Roesch, B, editor. New Jersey: John Wiley & Sons,Inc.; 2003.Google Scholar
10.Davis, DP, Wold, RM, Patel, RJ, Tran, AJ, Tokhi, RN, Chan, TC, Vilke, GM. The clinical presentation and impact of diagnostic delays on emergency department patients with spinal epidural abscess. J Emerg Med 2004; 26(3):285–91.CrossRefGoogle ScholarPubMed
11.Danner, RL, Hartman, BJ. Update of spinal epidural abscess: 35 cases and review of literature. Rev Infect Dis 1987;71:369–85.Google Scholar
12.Deyo, RA, Rainville, J, Kent, DL. What can the history and physical exam tell us about low back pain? JAMA 1992;268(6):760–5.Google Scholar
13.Della-Giustina, D, Coppola, M. Thoracic and lumbar pain syndromes. In: Tintinalli, JE, Kelen, GD, Stapczynski, JS, editors. Emergency medicine: a comprehensive study guide. 6th ed. New York: McGraw-Hill Companies, Inc.; 2004. p. 1778.Google Scholar
14.May, MLA. Acute back pain and fever. J Paediatr Child Health 2003;39(7):552–4.CrossRefGoogle ScholarPubMed