Spinal Subdural Abscess Following Food Intoxication: A Case Report

Takeuchi, Tatsuto; Shigenobu, Keiichi

doi:10.22603/ssrr.2018-0010

Cited by 1 publication

(1 citation statement)

References 14 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Very few cases have been reported of entire neuroaxis SDE, with only three case reports in the literature and three cases of subaxial cervical, thoracic and lumbar SDE 6. There are varying sources of infection, from direct inoculation via procedures like cervical acupuncture,7 surgery,2 lumbar puncture,8 local seeding from sacral decubitus ulcer,9 food poisoning,10 intravenous drug abuse and haematogenous spread from osteomyelitis being the most common source 3 8…”

Section: Discussionmentioning

confidence: 99%

Unusual case of spinal subdural empyema with ventriculitis managed conservatively with lumbar drain

2022

View full text Add to dashboard Cite

It has long been believed that spinal subdural empyemas (SDEs) with neurological symptoms result in death if operative intervention is not performed. We present a case of addressing an extensive spinal SDE with a minimally invasive procedure: a bedside lumbar drain. Our patient is a 67-year-old man with medical history significant for type I diabetes who presented 2 weeks after a right shoulder steroid injection with septic arthritis. An MRI was obtained for back pain which revealed spinal SDE from the cervical to lumbosacral spine. Given patient’s acute sepsis, haemodynamic instability, and extent of empyema, we placed a lumbar drain for decompression. The patient had a prolonged complicated hospital course. Imaging 2 months later revealed interval decrease in the spinal SDE. Although this severe septic event left the patient with significant deficits, he was able to return to ambulation without surgical intervention.

show abstract