Spinal Epidural Abscess After Corticosteroid Injections

KOKA, VIJAY K.; POTTI, ANIL

doi:10.1097/00007611-200295070-00024

Cited by 11 publications

(2 citation statements)

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“…Other authors have emphasized that diabetes is a strong risk factor for epidural abscess formation. 12,14,18 However, some patients with epidural abscess formation have no identifiable risk factors, 3 including our patient (with the exception of history of ESI).…”

Section: Discussionmentioning

confidence: 74%

Cervical Epidural Abscess After Epidural Steroid Injection

Huang

Shapiro

Lim

et al. 2004

Spine

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Section: Discussionmentioning

confidence: 74%

Cervical Epidural Abscess After Epidural Steroid Injection

Huang

Shapiro

Lim

et al. 2004

Spine

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“…Only 2 cases of our review were non-surgically treated, corresponding to patients aged around 70 yearsold, both with an underlying immunological disease. (7,8) In both, a Staphylococcus aureus was isolated and they evolved favorably at 6 and 12 months of follow-up. However, the potential risk of emerging germs must be considered in those with non-response to empiric antibiotics.…”

Section: Discussionmentioning

confidence: 97%

Extensive spinal epidural abscess after nerve root injection in a young non-immunocompromised Patient. Case Report and Literature Review.

Holc

Forneris

Camino-Willhuber³

et al. 2023

Rev Fac Cien Med Univ Nac Cordoba

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Introduction: Epidural injections are frequent and safe procedures. Severe complications are infrequent, and they have been reported in elderly comorbid patients with predisposing factors. The objectives of this work are to present a case of an extensive epidural lumbar abscess in a young non-comorbid male patient after a therapeutic L5-S1 injection and a literature review about this subject. Case Presentation An otherwise healthy 24-year-old man who present a case of an extensive epidural lumbar abscess after a therapeutic nerve root block due to a disc herniation. After 7 days of fever and low back pain, he required two surgical interventions and intravenous antibiotic therapy. We reviewed 18 patients with epidural abscess consequence of spinal injections. Their mean age was 54.5 y.o, 66.5% were male, and 66.5% had at least one predisposing risk factor. Symptoms Onset occurred at 8 days on average after the procedure, but the correct diagnosis was made at the 25th-day average. Only 22% presented the classic diagnostic triad, the most frequently isolated germ was Staphylococcus Aureus (66%) and 89% were treated surgically with a 33% rate of complete recovery, 17% mortality and 28% remained with neurological sequelae. Conclusion: Epidural abscesses are infrequent and serious, complication after spinal diagnostic and therapeutic injections, even in young patients without comorbidities. We consider it fundamental to maintain a diagnostic suspicion, even in this subgroup of patients.

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Komplikationsmöglichkeiten und Aufklärungsproblematik bei wirbelsäulennahen Injektionen im Bereich der Lendenwirbelsäule

Schulte

Liljenqvist

2007

Münsteraner Sachverständigengespräche

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Spinal Epidural Abscess After Corticosteroid Injections

Cited by 11 publications

References 0 publications

Cervical Epidural Abscess After Epidural Steroid Injection

Cervical Epidural Abscess After Epidural Steroid Injection

Extensive spinal epidural abscess after nerve root injection in a young non-immunocompromised Patient. Case Report and Literature Review.

Komplikationsmöglichkeiten und Aufklärungsproblematik bei wirbelsäulennahen Injektionen im Bereich der Lendenwirbelsäule

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