Korean Journal of Spine  2015;12(1):22-25

doi:10.14245/kjs.2015.12.1.22

Cervical Epidural Abscess: Rare Complication of Bacterial Endocarditis with Streptococcus Viridans: A Case Report.

Jae Sang OH 1 ; Jai Joon SHIM ; Kyeong Seok LEE ; Jae Won DOH

Affiliations

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Keywords

Spondylitis; Abscess; Endocarditis; Streptococcus viridans

Country

Republic of Korea

Language

English

Abstract

Although many patients with infective endocarditis (IE) complain of joint, muscle, and back pain, infections at these sights are rare. The incidence of spinal abscess in cervical spine complicating endocarditis is very rare. Although the surgical management is the mainstay of treatment, conservative treatment can get success in selected patients. We report a patient with cervical epidural abscess due to Streptococcus viridans endocarditis. Both epidural abscess and IE were managed conservatively with intravenous antibiotics for 8 weeks, with recovery. It is important to remind spinal epidural abscess can occur in those patients with bacterial endocarditis.