Development of Spinal Epidural Abscess during Treatment of Pneumococcal Meningitis.
10.3904/kjm.2016.91.3.330
- Author:
Seol SO
1
;
Sangyoung YI
;
Han Bit PARK
;
Yun Kyung CHO
;
Jiwon JUNG
;
Sung Han KIM
;
Sang Ahm LEE
Author Information
1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. kimsunghanmd@hotmail.com
- Publication Type:Case Report
- Keywords:
Meningitis, Pneumococcal;
Epidural abscess;
Pleocytosis
- MeSH:
Epidural Abscess*;
Female;
Humans;
Leukocytosis;
Meningitis, Bacterial;
Meningitis, Pneumococcal*;
Middle Aged
- From:Korean Journal of Medicine
2016;91(3):330-333
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
There have been a few reports of pneumococcal meningitis complicated by spinal epidural abscess. A 58-year-old female with Streptococcus pneumoniae meningitis underwent a recurrent pleocytosis without apparent clinical deterioration after appropriate antibiotic treatment. Subsequently, she developed a spinal epidural abscess. Spinal epidural abscess is a rare complication of pneumococcal meningitis, and subclinical deterioration of neutrophil-dominant pleocytosis may precede development of a spinal epidural abscess in individuals with bacterial meningitis.
