Brucellar spinal epidural abscess
Spinal epidural abscesses account for approximately one of every 10,000 admissions to tertiary hospitals. The midthoracic vertebrae are the most frequently affected, whilst the cervical spine is involved in fewer patients. Staphylococcus aureus is identified as the cause in most cases of epidural ab...
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| Veröffentlicht in: | European journal of neurology 1999-01, Vol.6 (1), p.87-89 |
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| container_title | European journal of neurology |
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| creator | Pina, M.A. Ara, J.R. Modrego, P.J. Juyol, M.C. Capablo, J.L. |
| description | Spinal epidural abscesses account for approximately one of every 10,000 admissions to tertiary hospitals. The midthoracic vertebrae are the most frequently affected, whilst the cervical spine is involved in fewer patients. Staphylococcus aureus is identified as the cause in most cases of epidural abscess; other bacteria responsible include Gram‐negative bacteria, Streptococcus species and Brucella species. We report the case of a patient with cervical spondylodiscitis at level C4‐C5 and an epidural abscess which was compressing the spinal cord and the retropharyngeal space. The previous symptoms of brucellosis were atypical. We discuss the clinical manifestations, diagnosis, treatment and prognosis of the case. |
| doi_str_mv | 10.1046/j.1468-1331.1999.610087.x |
| format | Article |
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The midthoracic vertebrae are the most frequently affected, whilst the cervical spine is involved in fewer patients. Staphylococcus aureus is identified as the cause in most cases of epidural abscess; other bacteria responsible include Gram‐negative bacteria, Streptococcus species and Brucella species. We report the case of a patient with cervical spondylodiscitis at level C4‐C5 and an epidural abscess which was compressing the spinal cord and the retropharyngeal space. The previous symptoms of brucellosis were atypical. 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The midthoracic vertebrae are the most frequently affected, whilst the cervical spine is involved in fewer patients. Staphylococcus aureus is identified as the cause in most cases of epidural abscess; other bacteria responsible include Gram‐negative bacteria, Streptococcus species and Brucella species. We report the case of a patient with cervical spondylodiscitis at level C4‐C5 and an epidural abscess which was compressing the spinal cord and the retropharyngeal space. The previous symptoms of brucellosis were atypical. We discuss the clinical manifestations, diagnosis, treatment and prognosis of the case.</description><subject>Abscess - complications</subject><subject>Abscess - diagnosis</subject><subject>Abscess - microbiology</subject><subject>Aged</subject><subject>Brucella species</subject><subject>Brucellosis - complications</subject><subject>cervical spondylodiscitis</subject><subject>Cervical Vertebrae - microbiology</subject><subject>Discitis - complications</subject><subject>Discitis - diagnosis</subject><subject>Discitis - microbiology</subject><subject>epidural abscess</subject><subject>Epidural Space - microbiology</subject><subject>Epidural Space - pathology</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Pharynx - diagnostic imaging</subject><subject>Spinal Cord Compression - etiology</subject><subject>Spinal Diseases - complications</subject><subject>Spinal Diseases - diagnosis</subject><subject>Spinal Diseases - microbiology</subject><subject>Tomography, X-Ray Computed</subject><issn>1351-5101</issn><issn>1468-1331</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1PwzAMhiMEYmPwF9B24dZiJ83XEcb4kCa4wDlK21Tq1G0loWL790vphDgiWbItv35tPYTMEFKETNyuUsyESpAxTFFrnQoEUDLdnZDx7-Q01oxjwhFwRC5CWAEAlRTOyQiBgmacj8ns3neFaxrrp6GtN7aZurYuOx8Lm4fChXBJzirbBHd1zBPy8bh4nz8ny7enl_ndMimyDGRSKNSZUphXRQlVTsE6zAtVSqgoL5UurZLOUS1sJpUUjFeMcsyhVBwFYzmbkJvBt_Xbz86FL7Ouw89rG7ftghHRnknKo1APwsJvQ_CuMq2v19bvDYLp-ZiV6SmYnoLp-ZiBj9nF3evjkS5fu_LP5gAkCh4GwXfduP3_nc3idRFDoOl7dgAI23QB</recordid><startdate>199901</startdate><enddate>199901</enddate><creator>Pina, M.A.</creator><creator>Ara, J.R.</creator><creator>Modrego, P.J.</creator><creator>Juyol, M.C.</creator><creator>Capablo, J.L.</creator><general>Blackwell Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199901</creationdate><title>Brucellar spinal epidural abscess</title><author>Pina, M.A. ; Ara, J.R. ; Modrego, P.J. ; Juyol, M.C. ; Capablo, J.L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4407-c8194881bfcd0fb20ae1bc8d70f25d89da87ee296a4787635f3251b0d851633b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Abscess - complications</topic><topic>Abscess - diagnosis</topic><topic>Abscess - microbiology</topic><topic>Aged</topic><topic>Brucella species</topic><topic>Brucellosis - complications</topic><topic>cervical spondylodiscitis</topic><topic>Cervical Vertebrae - microbiology</topic><topic>Discitis - complications</topic><topic>Discitis - diagnosis</topic><topic>Discitis - microbiology</topic><topic>epidural abscess</topic><topic>Epidural Space - microbiology</topic><topic>Epidural Space - pathology</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Pharynx - diagnostic imaging</topic><topic>Spinal Cord Compression - etiology</topic><topic>Spinal Diseases - complications</topic><topic>Spinal Diseases - diagnosis</topic><topic>Spinal Diseases - microbiology</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pina, M.A.</creatorcontrib><creatorcontrib>Ara, J.R.</creatorcontrib><creatorcontrib>Modrego, P.J.</creatorcontrib><creatorcontrib>Juyol, M.C.</creatorcontrib><creatorcontrib>Capablo, J.L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pina, M.A.</au><au>Ara, J.R.</au><au>Modrego, P.J.</au><au>Juyol, M.C.</au><au>Capablo, J.L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Brucellar spinal epidural abscess</atitle><jtitle>European journal of neurology</jtitle><addtitle>Eur J Neurol</addtitle><date>1999-01</date><risdate>1999</risdate><volume>6</volume><issue>1</issue><spage>87</spage><epage>89</epage><pages>87-89</pages><issn>1351-5101</issn><eissn>1468-1331</eissn><abstract>Spinal epidural abscesses account for approximately one of every 10,000 admissions to tertiary hospitals. The midthoracic vertebrae are the most frequently affected, whilst the cervical spine is involved in fewer patients. Staphylococcus aureus is identified as the cause in most cases of epidural abscess; other bacteria responsible include Gram‐negative bacteria, Streptococcus species and Brucella species. We report the case of a patient with cervical spondylodiscitis at level C4‐C5 and an epidural abscess which was compressing the spinal cord and the retropharyngeal space. The previous symptoms of brucellosis were atypical. We discuss the clinical manifestations, diagnosis, treatment and prognosis of the case.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>10209355</pmid><doi>10.1046/j.1468-1331.1999.610087.x</doi><tpages>3</tpages></addata></record> |
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| ispartof | European journal of neurology, 1999-01, Vol.6 (1), p.87-89 |
| issn | 1351-5101 1468-1331 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Abscess - complications Abscess - diagnosis Abscess - microbiology Aged Brucella species Brucellosis - complications cervical spondylodiscitis Cervical Vertebrae - microbiology Discitis - complications Discitis - diagnosis Discitis - microbiology epidural abscess Epidural Space - microbiology Epidural Space - pathology Humans Magnetic Resonance Imaging Pharynx - diagnostic imaging Spinal Cord Compression - etiology Spinal Diseases - complications Spinal Diseases - diagnosis Spinal Diseases - microbiology Tomography, X-Ray Computed |
| title | Brucellar spinal epidural abscess |
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