Spinal epidural abscess presenting as intra-abdominal pathology: a case report and literature review

Bremer, Andrew A.; Darouiche, Rabih O.

doi:10.1016/j.jemermed.2003.04.005

Cited by 25 publications

(20 citation statements)

References 17 publications

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“…It is more common in men in their fifth decade of life, with a prevalence of 2 to 25 cases per 100,000 admissions (Darouiche et al, 1992). Main risk factors are diabetes mellitus, alcoholism, HIV, back trauma, tattoo, acupuncture, skin and soft tissue infections, bacteremia and use of intravenous drugs (Bremer and Darouiche, 2004;Reihsaus et al, 2000). In the present case, there was correspondence to the presence of diabetes and an infectious trigger (pyelonephritis).…”

Section: Discussionmentioning

confidence: 45%

“…Only in few patients, the classic triad of persistent fever, back pain and neurological deficits may be found (Bremer and Darouiche, 2004). As a result, the delay in diagnosis may lead to gradual progression of symptoms; lower back pain, radicular pain, weakness of the lower limbs and sensory deficits, up to complete paralysis, that may be irreversible if not promptly treated (Reihsaus et al, 2000).…”

Section: Discussionmentioning

confidence: 99%

“…Analyses of laboratories usually show leukocytosis and positive inflammatory markers (high erythrocyte sedimentation rate and c-reactive protein) in most cases (Bremer and Darouiche, 2004;Nussbaum et al, 1992;Tang et al, 2002). If available, cerebrospinal fluid shows hyperproteinemia and pleocytosis (Nussbaum et al, 1992).…”

Section: Discussionmentioning

confidence: 99%

“…Epidural abscess is a rare cause of low back pain (Bremer and Darouiche, 2004;Sendi et al, 2008). Nowadays, because of higher life expectancy, greater prevalence of spine invasive procedures and significant improvement in the sensitivity of imaging methods, the diagnosis is about 0.2 to 1.2 cases per 10,000 hospital admissions per year (Darouiche et al, 1992;Grewal et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

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Epidural abscess in a diabetic patient with complicated pyelonephritis: Case report and literature review

Silva¹,

Safadi²,

Silva³

et al. 2016

Med. Case Stud.

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Epidural abscess is a rare condition, with increasing incidence, but still underdiagnosed. Clinical set is often confused with common diseases, which delays the diagnosis and may progress to irreversible neurological sequelae or death, if no early intervention is taken. We have reported a case of a patient immunosuppressed by diabetes who developed an epidural abscess due to a complicated pyelonephritis.

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Section: Discussionmentioning

confidence: 45%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Epidural abscess in a diabetic patient with complicated pyelonephritis: Case report and literature review

Silva¹,

Safadi²,

Silva³

et al. 2016

Med. Case Stud.

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“…6 The findings presented here suggest that patients with ESRD had higher prevalence of abdominal pain and sensory deficit. Moreover, Bremer et al 7 stated that SEA can present as abdominal pain. Sensory deficit may be related to the larger number of diabetes patients in the ESRD group.…”

Section: Discussionmentioning

confidence: 99%

Aggressive Surgical Intervention in End-Stage Renal Disease Patients with Spinal Epidural Abscess

Wu¹,

Fu²,

Chang³

et al. 2011

Renal Failure

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Background: Despite advances in imaging, as well as antibiotic and surgical treatment, spinal epidural abscess (SEA) remains a challenging problem in end-stage renal disease (ESRD) patients. This investigation assesses the influence of ESRD on clinical manifestations, complications, and outcomes in patients with SEA. Methods: This study retrospectively reviewed medical records of 41 patients with SEA treated during [2003][2004][2005][2006]. The patients comprised two groups: group I (patients with ESRD) and group II (patients without ESRD). Patient characteristics, including age, gender, comorbidities, clinical presentations, laboratory data, locations of epidural abscess, and outcome, were recorded and compared. Results: The final sample comprised 41 patients. The mean age of the subjects was 62 + 12 years. The sample included 12 patients with ESRD and 29 without ESRD. The development of symptoms was similar for both groups. Group I patients displayed higher serum erythrocyte sedimentation rate (ESR) (108 + 26 vs. 81 + 31 mm/h, p = 0.014) and lower serum hematocrit (27.1 + 4.3 vs. 33.7 + 5.1%, p < 0.001) than group II patients. Overall survival at 3 months was 88.9% and 93.1% for patients in groups I and II, respectively (p = 0.876). Meanwhile, patients that underwent surgical decompression of epidural abscess received more surgeries than group I patients (1.08 vs. 0.55, p = 0.086), although the difference was not significant. Conclusions: ESRD is a risk factor for repeat surgery in patients with SEA. This investigation suggests that ESRD patients with SEA may require aggressive surgical intervention despite ESRD not affecting their long-term prognosis.

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Case of a Child with a Spinal Epidural Abscess

Anderson

2020

Back Pain in the Young Child and Adolescent

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Spinal epidural abscess presenting as intra-abdominal pathology: a case report and literature review

Cited by 25 publications

References 17 publications

Epidural abscess in a diabetic patient with complicated pyelonephritis: Case report and literature review

Epidural abscess in a diabetic patient with complicated pyelonephritis: Case report and literature review

Aggressive Surgical Intervention in End-Stage Renal Disease Patients with Spinal Epidural Abscess

Case of a Child with a Spinal Epidural Abscess

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