A rare case of extensive spinal epidural abscess in a diabetic patient

Spine (Phila Pa 1976). 2010 Jan 15;35(2):E53-6. doi: 10.1097/BRS.0b013e3181b9764d.

Abstract

Study design: Case report.

Objective: We report a rare case of extensive spinal epidural abscess in a patient with diabetes.

Summary of background data: Spinal epidural abscess is a very uncommon infection that requires prompt recognition and proper management to avoid potentially disastrous complications. This lesion can expand to compress the spinal cord causing severe symptoms and complications.

Methods: Combination of the patient clinical history, physical examination, laboratory results, radiologic and intraoperative findings along with brief related literature review.

Results: We present a rare case of spinal epidural abscess extending to the entire length of the spinal cord in a previously undiagnosed patient with diabetes.

Conclusion: Diabetes is an important condition that can predispose an individual to the development of localized or extensive spinal epidural abscess.

Publication types

  • Case Reports

MeSH terms

  • Diabetes Mellitus, Type 2 / complications*
  • Diabetes Mellitus, Type 2 / diagnosis
  • Diabetes Mellitus, Type 2 / microbiology
  • Epidural Abscess / complications*
  • Epidural Abscess / diagnosis*
  • Epidural Abscess / drug therapy
  • Epidural Abscess / microbiology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Methicillin / therapeutic use
  • Middle Aged
  • Neck Pain / etiology
  • Neck Pain / microbiology
  • Spinal Cord / microbiology*
  • Staphylococcal Infections / complications*
  • Staphylococcal Infections / diagnosis
  • Staphylococcal Infections / drug therapy
  • Staphylococcal Infections / microbiology
  • Staphylococcus aureus*
  • Treatment Outcome

Substances

  • Methicillin