Treatment of Pasteurella multocida Cervical Epidural Abscess

Abdel-Raheem, Mohamed; Mohamed, Yousif; Houlihan, Elaine; Murray, Odhrán

doi:10.7759/cureus.25507

Cited by 2 publications

References 13 publications

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Minimally Invasive Management of Cervical Spondylodiscitis. A Multicenter Experience

SEGBEDJI,

MALLEREAU,

DANNHOFF

et al. 2024

Preprint

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Background The urgent etiological diagnosis represents the main management objective of cervical spondylodiscitis (CSD) to start as soon as possible antibiotic treatment to prevent neurological deterioration. The present study aimed to evaluate a multicenter experience implementing a minimally invasive surgical approach (MISA) to manage such pathology vs the most complex and aggressive surgical strategies currently used. Patients and methods Retrospective multicenter study on a prospectively built database of a 70 patients’ series in 5 European tertiary neurosurgical centers. Seventy consecutive patients harboring primary CSD undergoing MISA were included. Formal diagnosis was made in all patients on clinical presentation, imaging findings, and laboratory investigation and confirmed by histopathological and bacteriological analysis of perioperative specimens. Results Forty-one patients were men and 29 were women with a mean age of 47.67 years. Severe neck pain was the most common symptom in 45/70 patients. Fifty-one patients presented a single cervical level of spondylodiscitis, 14/70 double level, and 5/70 triple level respectively. The most commonly identified microorganism was Staphylococcus aureus in 49/70 patients. Each patient received a mean of 3 months' antibiotics treatment. With a mean follow-up period of 48 months, all patients showed a complete recovery without neurological deficits. Neither spine instability nor kyphotic deformation was recorded and bony fusion was confirmed radiologically in all patients. No infection recurrence occurred. Conclusions MISA treatment of CSD is a valuable management option to identify the microorganism involved and/or to decompress the spinal cord ensuring as much as possible mechanical stability resulting in excellent patient outcomes.

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Minimally Invasive Management of Cervical Spondylodiscitis. A Multicenter Experience

SEGBEDJI,

MALLEREAU,

DANNHOFF

et al. 2024

Preprint

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Cervical Spinal Epidural Abscess: Diagnosis, Treatment, and Outcomes: A Case Series and a Literature Review

Papadakis,

Ampadiotaki,

Pallis

et al. 2023

JCM

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Although recent diagnostic and management methods have improved the prognosis of cervical epidural abscesses, morbidity and mortality remain significant. The purpose of our study is to define the clinical presentation of cervical spinal epidural abscess, to determine the early clinical outcome of surgical treatment, and to identify the most effective diagnostic and treatment approaches. Additionally, we analyzed studies regarding cervical epidural abscesses and performed a review of the literature. In this study, four patients with spinal epidural abscess were included. There were three men and one woman with a mean age of 53 years. Three patients presented with motor deficits, and one patient was diagnosed incidentally through spinal imaging. All the patients had fever, and blood cultures were positive. Staphylococcus aureus was the most common organism cultured from abscesses. All patients underwent a surgical procedure, and three patients recovered their normal neurological functions, but one remained with mild neurological disability that was resolved two years postoperatively. The mean follow-up period was 12 months, and no deaths occurred in this series. Furthermore, we identified 85 studies in the literature review and extracted data regarding the diagnosis and management of these patients. The timely detection and effective management of this condition are essential for minimizing its associated morbidity and mortality.

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Treatment of Pasteurella multocida Cervical Epidural Abscess

Cited by 2 publications

References 13 publications

Minimally Invasive Management of Cervical Spondylodiscitis. A Multicenter Experience

Minimally Invasive Management of Cervical Spondylodiscitis. A Multicenter Experience

Cervical Spinal Epidural Abscess: Diagnosis, Treatment, and Outcomes: A Case Series and a Literature Review

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