A Case of Spinal Epidural Abscess Caused by Sreptococcus pneumoniae.
- Author:
Ji Young RHEE
1
;
Yu Mi WI
;
Kyong Mok SON
;
Hyun Kyun KI
;
Chi Sook MOON
;
Won Sup OH
;
Kyong Ran PECK
;
Jae Hoon SONG
Author Information
1. Department of Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea. krpeck@smc.samsung.co.kr
- Publication Type:Case Report
- Keywords:
Streptococcus pneumoniae;
Spinal epidural abscess;
Spinal trauma
- MeSH:
Adult;
Alcoholism;
Anti-Bacterial Agents;
Anti-Infective Agents;
Back Pain;
Diabetes Mellitus;
Early Diagnosis;
Epidural Abscess*;
Fever;
Humans;
Kidney Failure, Chronic;
Magnetic Resonance Imaging;
Male;
Meningitis;
Mortality;
Paraplegia;
Penicillins;
Pneumococcal Infections;
Pneumonia*;
Spine;
Streptococcus pneumoniae;
Suppuration
- From:
Infection and Chemotherapy
2004;36(6):386-388
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pneumonia and meningitis are the most frequent manifestations of pneumococcal infections. Pneumococcal spinal epidural abscesses have been rarely reported. Spinal epidural abscess by Streptococcus pneumoniae has been diagnosed among the patients with diabetes mellitus, alcoholism, corticosteroid therapy, intravenous drug use, chronic renal failure, AIDS, and history of spinal surgery. Recently, we experienced a case of pneumococcal spinal epidural abscess after spinal trauma. A 36-year-old male patient was admitted with back pain, fever, and paraplegia which occurred 5 days after the trauma. Spine MRI revealed spinal epidural abscess at the level from T2 to T9. He was treated with antimicrobial agents and surgical exploration for spinal epidural abscess. Pus culture grew S. pneumoniae which was susceptible to penicillin. Despite early surgical treatment, neurologic sequelae remained. Considering the high mortality and morbidity of pneumococcal spinal epidural abscess, early diagnosis and aggressive treatment including surgical intervention and antibiotics therapy should be implemented immediately.
