Gas-Containing Cervical Epidural Abscess Accompanying Bacterial Meningitis in an Adult.
10.14245/kjs.2017.14.1.17
- Author:
Dong Min KIM
1
;
Seok Won KIM
Author Information
1. Department of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea.
- Publication Type:Case Report
- Keywords:
Cervical spine;
Abscess;
Meningitis
- MeSH:
Abscess;
Adult*;
Cerebrospinal Fluid;
Decompression, Surgical;
Drainage;
Epidural Abscess*;
Humans;
Meningitis;
Meningitis, Bacterial*;
Spinal Cord;
Streptococcus anginosus;
Streptococcus constellatus;
Suppuration;
Urinary Bladder
- From:Korean Journal of Spine
2017;14(1):17-19
- CountryRepublic of Korea
- Language:English
-
Abstract:
Gas-containing spinal epidural abscesses are uncommon. Moreover, acute spinal epidural abscesses rarely complicate bacterial meningitis in adults. Here, we report a rare case of a gas-containing cervical epidural abscess accompanying bacterial meningitis. In spite of aggressive fluid and continuous antibiotic therapy after the isolation of Streptococcus anginosus and Streptococcus constellatus in the cerebrospinal fluid cultures, the patient showed remaining motor dysfunction and bladder involvement. Our experience suggests that the effort to prevent neurologic deterioration by emergent surgical decompression and drainage of pus is mandatory to avoid additional spinal cord dysfunction in patients with spinal epidural abscesses accompanying bacterial meningitis.
