Epidural abscess in a diabetic patient with complicated pyelonephritis: Case report and literature review

Silva, Carolina Neiva Guedes da; Safadi, Ana Paola Lavigne; Silva, Anderson Brito de Azevedo; Lanzieri, Pedro Gemal

doi:10.5897/mcs2015.0110

Med. Case Stud.

2016

DOI: 10.5897/mcs2015.0110

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Epidural abscess in a diabetic patient with complicated pyelonephritis: Case report and literature review

Carolina Neiva Guedes da Silva¹,

Ana Paola Lavigne Safadi²,

Anderson Brito de Azevedo Silva³

et al.

Abstract: Epidural abscess is a rare condition, with increasing incidence, but still underdiagnosed. Clinical set is often confused with common diseases, which delays the diagnosis and may progress to irreversible neurological sequelae or death, if no early intervention is taken. We have reported a case of a patient immunosuppressed by diabetes who developed an epidural abscess due to a complicated pyelonephritis.

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Spinal epidural abscess due to acute pyelonephritis

Scalia

Marrone²,

Paolini³

et al. 2022

Surgical Neurology International

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Background: Spinal epidural abscesses are rare and are misdiagnosed in up to 75% of cases. Fever, back pain, and neurological deficits are part of the classical triad. Here, the authors report a patient with a L2–L5 spinal epidural abscess with the left paravertebral extension attributed to acute pyelonephritis. Case Description: A 54-year-old female presented with persistent low back pain and lower extremity weakness accompanied by paresthesias. Previously, she had been hospitalized with the left acute pyelonephritis. The lumbosacral MRI documented a T12/L5 anterior epidural abscess with ring enhancement on the contrast study; the maximum diameter of the abscess at the L2–L3 level contributed to severe cauda equina compression. She underwent a L2/L4 decompressive laminectomy with drainage of the intraspinal/extradural and paravertebral components. Intraoperative microbiological sampling grew Staphylococcus aureus for which she then received targeted antibiotic therapy. Fifteen days later, she was walking adequately when discharged. Conclusion: Thoracolumbar epidural abscesses are rare. They must be considered among the differential diagnoses when patients present with acute back pain, fever, and new neurological deficits following prior treatment for acute pyelonephritis.

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Spinal epidural abscess due to acute pyelonephritis

Scalia

Marrone²,

Paolini³

et al. 2022

Surgical Neurology International

View full text Add to dashboard Cite

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Epidural abscess in a diabetic patient with complicated pyelonephritis: Case report and literature review

Cited by 1 publication

References 12 publications

Spinal epidural abscess due to acute pyelonephritis

Spinal epidural abscess due to acute pyelonephritis

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