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Ocular infection preceding major epidural abscess.

Dunbar L, Johnstone R - Case Rep Orthop (2014)

Bottom Line: This was surgically decompressed, and she was treated with appropriate intravenous antibiotics.Despite a complicated postoperative course, she made an excellent recovery.This case reviews the important clinical and radiological features of the presentation of a major epidural abscess and it also suggests a potentially unusual primary source.

View Article: PubMed Central - PubMed

Affiliation: Hutt Valley DHB, Private Bag 31907, Wellington, Lower Hutt 5040, New Zealand.

ABSTRACT
Staphylococcal bacteremia is an important clinical entity. A 74-year-old lady presented with an isolated staphylococcal ocular infection; this was treated with a short course of antibiotics, a prolonged course of steroids, and discharge from hospital with outpatient clinic followup. She represented three weeks later to the emergency department with back pain, raised inflammatory markers, and positive blood cultures. On magnetic resonance imaging (MRI), an extensive epidural collection was seen. This was surgically decompressed, and she was treated with appropriate intravenous antibiotics. Despite a complicated postoperative course, she made an excellent recovery. This case reviews the important clinical and radiological features of the presentation of a major epidural abscess and it also suggests a potentially unusual primary source. The clinician is reminded to always have a high index of suspicion regarding staphylococcal bacteremia and the potential for seeding to the epidural space.

No MeSH data available.


Related in: MedlinePlus

T1 weighted images postgadolinium sagittal and axial views: enhancement and oedema shown in the posterior ligamentous complex.
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Related In: Results  -  Collection


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fig3: T1 weighted images postgadolinium sagittal and axial views: enhancement and oedema shown in the posterior ligamentous complex.

Mentions: The paraspinous region demonstrates at least two small collections (to the right of the L4 spinous process as depicted by the large arrow on both images of Figures 1(a) and 1(b)). Figure 2 demonstrates the extension of the infection. Significant compression of the thecal sac and spinal cord is seen on Figure 3(b), along with the collection opposite the L4 spinous process.


Ocular infection preceding major epidural abscess.

Dunbar L, Johnstone R - Case Rep Orthop (2014)

T1 weighted images postgadolinium sagittal and axial views: enhancement and oedema shown in the posterior ligamentous complex.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4199067&req=5

fig3: T1 weighted images postgadolinium sagittal and axial views: enhancement and oedema shown in the posterior ligamentous complex.
Mentions: The paraspinous region demonstrates at least two small collections (to the right of the L4 spinous process as depicted by the large arrow on both images of Figures 1(a) and 1(b)). Figure 2 demonstrates the extension of the infection. Significant compression of the thecal sac and spinal cord is seen on Figure 3(b), along with the collection opposite the L4 spinous process.

Bottom Line: This was surgically decompressed, and she was treated with appropriate intravenous antibiotics.Despite a complicated postoperative course, she made an excellent recovery.This case reviews the important clinical and radiological features of the presentation of a major epidural abscess and it also suggests a potentially unusual primary source.

View Article: PubMed Central - PubMed

Affiliation: Hutt Valley DHB, Private Bag 31907, Wellington, Lower Hutt 5040, New Zealand.

ABSTRACT
Staphylococcal bacteremia is an important clinical entity. A 74-year-old lady presented with an isolated staphylococcal ocular infection; this was treated with a short course of antibiotics, a prolonged course of steroids, and discharge from hospital with outpatient clinic followup. She represented three weeks later to the emergency department with back pain, raised inflammatory markers, and positive blood cultures. On magnetic resonance imaging (MRI), an extensive epidural collection was seen. This was surgically decompressed, and she was treated with appropriate intravenous antibiotics. Despite a complicated postoperative course, she made an excellent recovery. This case reviews the important clinical and radiological features of the presentation of a major epidural abscess and it also suggests a potentially unusual primary source. The clinician is reminded to always have a high index of suspicion regarding staphylococcal bacteremia and the potential for seeding to the epidural space.

No MeSH data available.


Related in: MedlinePlus