A Case of Epidural Abscess in Hemodialysis Patient Complaining of Fever and Back Pain.
- Author:
Joon Chang SONG
1
;
Mee Kyoung KIM
;
Youn Jeong KIM
;
Sung Yong KIM
;
Young Soo KIM
;
Hye Young YOU
;
Chul Woo YANG
;
Yong Soo KIM
;
Byung Kee BANG
Author Information
1. Department of Internal Medicine, Medical College, The Catholic University of Korea, Seoul, Korea. yagnch@cathoric.ac.kr
- Publication Type:Case Report
- Keywords:
Epidural abscess;
Back pain;
Hemodialysis
- MeSH:
Abscess;
Back Pain*;
Diagnosis;
Early Diagnosis;
Epidural Abscess*;
Fever*;
Humans;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Renal Dialysis*
- From:Korean Journal of Nephrology
2003;22(2):246-250
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
pidural abscess in hemodialysis patient is uncommon diseases, but it causes severe neruological complication if diagnois is delayed. In the clinical practice, diagnosis of epidural abscess is often delayed because it is difficult to differentiate epidural abscess with simple back pain. Therefore, it is important to make early diagnosis and treatment of epidural abscess to prevent neurological sequellae. We here report a case of epidural abscess with early diagnosis and successful treatment. A 54-year-old male patient was admitted to back pain and fever. Under the presumptive diagnosis of epidural abscess, MRI was performed, and it revealed epidural abscess. Intravenous antibiotic treatment was started and drain of abscess was subsequently performed since back pain was persisted. He discharged without neurologic sequellae. Our case strongly suggests that epidural abscess should be considered in patients and early radiologic evaluation and treatment are mandatory to prevent neurological complication.
