Serratia marcescens Spinal Epidural Abscess Following Caudal Epidural Injection.
10.4055/jkoa.2017.52.4.359
- Author:
Chang Eon YU
1
;
Byeong Yeol CHOI
;
Kyung Tae KIM
;
Young Chul PARK
Author Information
1. Department of Orthopedic Surgery, Presbyterian Medical Center, Jeonju, Korea. docby@hanmail.net
- Publication Type:Case Report
- Keywords:
spinal epidural abscess;
epidural injection;
Serratia marcescens
- MeSH:
Aged;
Back Pain;
Cross Infection;
Decompression, Surgical;
Discitis;
Epidural Abscess*;
Fever;
Humans;
Immunocompromised Host;
Injections, Epidural*;
Leg;
Magnetic Resonance Imaging;
Male;
Risk Factors;
Serratia marcescens*;
Serratia*
- From:The Journal of the Korean Orthopaedic Association
2017;52(4):359-363
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spinal infection due to Serratia marcescens is very rare. A 78-year-old male patient withoutany risk factor was admitted to our hospital with chief complaints of severe back pain, fever, weakness in both legs, and bowel dysfunction, following caudal epidural injection. Magnetic resonance imaging revealed spondylodiscitis with epidural abscess. Surgical decompression was performed and the epidural abscess was removed. The cultures isolated S. marcescens, which can cause nosocomial infection in immunocompromised patient. However, to the best of our knowledge, we report the first case of S. marcescens spinal epidural abscess following epidural injection, with literature review.
