A Case of Spinal Epidural Abscess Due to Pneumococcal Bacteremia.
- Author:
Sangjoon MIN
1
;
Juhong JEONG
;
Myeongdong LEE
;
Jinyeob YEO
;
Seong Hyun KIM
;
Jihyeon BAEK
;
Jin Soo LEE
;
Moon Hyeon CHEONG
Author Information
1. Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea. ljinsoo@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Streptococcus pneumonia;
Spinal epidural abscess;
Bacteremia
- MeSH:
Acquired Immunodeficiency Syndrome;
Aged;
Alcoholism;
Anti-Bacterial Agents;
Arthritis;
Bacteremia;
Diabetes Mellitus;
Epidural Abscess;
Female;
Fractures, Compression;
Humans;
Kidney Failure, Chronic;
Magnetic Resonance Imaging;
Meningitis;
Myelitis;
Otitis Media;
Penicillins;
Pneumonia;
Spine;
Streptococcus pneumoniae;
Substance Abuse, Intravenous
- From:Soonchunhyang Medical Science
2011;17(2):143-146
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Streptococcus pneumoniae (pneumococcus) has been known to cause pneumonia, sinusitus, otitis media, meningitis, endocardiditis, myelitis and arthritis. Spinal epidural abscess by S. pneumoniae has been diagnosed rarely among the patients with spinal trauma, intravenous drug abuse, alcoholism, diabetes mellitus, long term steroid use, chronic renal failure, and acquired immune deficiency syndrome. We experienced a case of pneumococcal spinal epidural abscess occurred in 75-year-old female with L1 compression fracture since 4 years ago. Her spine magnetic resonance imaging revealed epidural abscess at the level from L3 to S1. S. pneumonia was identified on blood which was susceptible to penicillin. She was immediately treated with antibiotics and surgical exploration. The pneumococcal spinal epidural abscess is very unusual. Therefore, we report here this case with a brief review of the literature.
