Details

Autor(en) / Beteiligte

• Sheoran, Lata
• Goel, Neeraj
• Acharya, Shankar
• Adsul, Nitin
• Wattal, Chand

Titel

A rare aetiology of spinal epidural abscess

Ist Teil von

• Indian journal of medical microbiology, 2019-10, Vol.37 (4), p.590

Ort / Verlag

United States

Erscheinungsjahr

2019

Quelle

MEDLINE

Beschreibungen/Notizen

• Spinal epidural abscess (SEA) due to Streptococcus pneumoniae is a rare entity, but it is associated with high mortality. Here, we describe a rare case of pneumococcal SEA in an immunocompetent adult who presented with fever, lower back pain and paresis. Central nervous system examination revealed a decreased power in bilateral lower limbs. Magnetic resonance imaging of the lumbosacral spine showed loculated pus collection in the epidural space at the level of L4-L5 vertebrae. Pus obtained following L4-L5 decompression along with blood cultures grew S. pneumoniae. The patient was treated with clindamycin and cefoperazone-sulbactam for 6 weeks, and no relapse was noted on 11 months follow-up.