A case of panspinal epidural abscess that presented with meningeal irritation
Case In rare cases, spinal epidural abscess involves the entire spine and can lead to neurological deficits and sepsis if treatment is delayed or suboptimal. A 65‐year‐old man was admitted with a diagnosis of bacterial meningitis. After admission, magnetic resonance imaging showed a spinal epidural...
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| Veröffentlicht in: | Acute medicine & surgery 2017-07, Vol.4 (3), p.363-366 |
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| container_title | Acute medicine & surgery |
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| creator | Okada, Naoki Nishiyama, Takashi Kurihara, Maki Nishimura, Yusuke Nishimura, Yoshiro Ando, Yukihiro Otsubo, Saori Yamada, Katsumi Maeda, Yuji |
| description | Case
In rare cases, spinal epidural abscess involves the entire spine and can lead to neurological deficits and sepsis if treatment is delayed or suboptimal. A 65‐year‐old man was admitted with a diagnosis of bacterial meningitis. After admission, magnetic resonance imaging showed a spinal epidural abscess from the cervical to lumbar spine. Blood culture revealed Staphylococcus aureus. The patient was initially treated medically because he had no neurological deficits. Repeat blood culture remained positive and abscesses were found in the mediastinum and bilateral psoas muscles.
Outcome
Surgery was carried out and the patient's postoperative course was satisfactory.
Conclusion
Spinal epidural abscess can extensively affect the spine and may present with the symptoms of bacterial meningitis. It is essential to examine the entire spine and paraspinal regions and to treat early in cases of spinal epidural abscess.
Spinal epidural abscess can extensively affect the spine and may present with the symptom of bacterial meningitis. Examining the whole spine and paraspinal abscesses is essential in cases of spinal epidural abscess. |
| doi_str_mv | 10.1002/ams2.294 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5674467</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1920302927</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4034-37710d91c77f92dc05d022e1ae53a50c431f397ad171dfaa1c772a77fa8a3d713</originalsourceid><addsrcrecordid>eNp1kMtKAzEUhoMottSCTyADbtxMzWVmMtkIpXiDFhfqOpwmmTalczGZWvr2ZmgtdeEqB_Lxnf_8CF0TPCIY03soPR1RkZyhPsUpjfOc8POTuYeG3q8wxoRglmXkEvWoIJTlgvbRbBwp8Caqi6iByje2gnVkGqs3Lgww98p4H7VLaKPGGW-q1uhoa9tlVJrKVgsTKOucbaG1dXWFLgpYezM8vAP0-fT4MXmJp2_Pr5PxNFYJZknMOCdYC6I4LwTVCqcaU2oImJRBilXCSMEEB0040QVAB1IIMOTANCdsgB723mYzL41WIVaIKxtnS3A7WYOVf38qu5SL-lumGU-SjAfB7UHg6q-N8a1c1RsXbveSCIoZpoJ21N2eUq723pniuIFg2XUvu-5l6D6gN6eJjuBv0wGI98DWrs3uX5Ecz95pJ_wBtCmN_Q</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1920302927</pqid></control><display><type>article</type><title>A case of panspinal epidural abscess that presented with meningeal irritation</title><source>Wiley Online Library - AutoHoldings Journals</source><source>DOAJ Directory of Open Access Journals</source><source>Wiley-Blackwell Open Access Titles</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Okada, Naoki ; Nishiyama, Takashi ; Kurihara, Maki ; Nishimura, Yusuke ; Nishimura, Yoshiro ; Ando, Yukihiro ; Otsubo, Saori ; Yamada, Katsumi ; Maeda, Yuji</creator><creatorcontrib>Okada, Naoki ; Nishiyama, Takashi ; Kurihara, Maki ; Nishimura, Yusuke ; Nishimura, Yoshiro ; Ando, Yukihiro ; Otsubo, Saori ; Yamada, Katsumi ; Maeda, Yuji</creatorcontrib><description>Case
In rare cases, spinal epidural abscess involves the entire spine and can lead to neurological deficits and sepsis if treatment is delayed or suboptimal. A 65‐year‐old man was admitted with a diagnosis of bacterial meningitis. After admission, magnetic resonance imaging showed a spinal epidural abscess from the cervical to lumbar spine. Blood culture revealed Staphylococcus aureus. The patient was initially treated medically because he had no neurological deficits. Repeat blood culture remained positive and abscesses were found in the mediastinum and bilateral psoas muscles.
Outcome
Surgery was carried out and the patient's postoperative course was satisfactory.
Conclusion
Spinal epidural abscess can extensively affect the spine and may present with the symptoms of bacterial meningitis. It is essential to examine the entire spine and paraspinal regions and to treat early in cases of spinal epidural abscess.
Spinal epidural abscess can extensively affect the spine and may present with the symptom of bacterial meningitis. Examining the whole spine and paraspinal abscesses is essential in cases of spinal epidural abscess.</description><identifier>ISSN: 2052-8817</identifier><identifier>EISSN: 2052-8817</identifier><identifier>DOI: 10.1002/ams2.294</identifier><identifier>PMID: 29123892</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>bacterial meningitis ; Case Report ; Case Reports ; epidural abscess ; magnetic resonance imaging ; Meningitis ; psoas abscess ; Spinal cord</subject><ispartof>Acute medicine & surgery, 2017-07, Vol.4 (3), p.363-366</ispartof><rights>2017 The Authors. published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.</rights><rights>2017. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4034-37710d91c77f92dc05d022e1ae53a50c431f397ad171dfaa1c772a77fa8a3d713</citedby><cites>FETCH-LOGICAL-c4034-37710d91c77f92dc05d022e1ae53a50c431f397ad171dfaa1c772a77fa8a3d713</cites><orcidid>0000-0003-4961-9341</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5674467/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5674467/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,1416,11560,27922,27923,45572,45573,46050,46474,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29123892$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okada, Naoki</creatorcontrib><creatorcontrib>Nishiyama, Takashi</creatorcontrib><creatorcontrib>Kurihara, Maki</creatorcontrib><creatorcontrib>Nishimura, Yusuke</creatorcontrib><creatorcontrib>Nishimura, Yoshiro</creatorcontrib><creatorcontrib>Ando, Yukihiro</creatorcontrib><creatorcontrib>Otsubo, Saori</creatorcontrib><creatorcontrib>Yamada, Katsumi</creatorcontrib><creatorcontrib>Maeda, Yuji</creatorcontrib><title>A case of panspinal epidural abscess that presented with meningeal irritation</title><title>Acute medicine & surgery</title><addtitle>Acute Med Surg</addtitle><description>Case
In rare cases, spinal epidural abscess involves the entire spine and can lead to neurological deficits and sepsis if treatment is delayed or suboptimal. A 65‐year‐old man was admitted with a diagnosis of bacterial meningitis. After admission, magnetic resonance imaging showed a spinal epidural abscess from the cervical to lumbar spine. Blood culture revealed Staphylococcus aureus. The patient was initially treated medically because he had no neurological deficits. Repeat blood culture remained positive and abscesses were found in the mediastinum and bilateral psoas muscles.
Outcome
Surgery was carried out and the patient's postoperative course was satisfactory.
Conclusion
Spinal epidural abscess can extensively affect the spine and may present with the symptoms of bacterial meningitis. It is essential to examine the entire spine and paraspinal regions and to treat early in cases of spinal epidural abscess.
Spinal epidural abscess can extensively affect the spine and may present with the symptom of bacterial meningitis. Examining the whole spine and paraspinal abscesses is essential in cases of spinal epidural abscess.</description><subject>bacterial meningitis</subject><subject>Case Report</subject><subject>Case Reports</subject><subject>epidural abscess</subject><subject>magnetic resonance imaging</subject><subject>Meningitis</subject><subject>psoas abscess</subject><subject>Spinal cord</subject><issn>2052-8817</issn><issn>2052-8817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kMtKAzEUhoMottSCTyADbtxMzWVmMtkIpXiDFhfqOpwmmTalczGZWvr2ZmgtdeEqB_Lxnf_8CF0TPCIY03soPR1RkZyhPsUpjfOc8POTuYeG3q8wxoRglmXkEvWoIJTlgvbRbBwp8Caqi6iByje2gnVkGqs3Lgww98p4H7VLaKPGGW-q1uhoa9tlVJrKVgsTKOucbaG1dXWFLgpYezM8vAP0-fT4MXmJp2_Pr5PxNFYJZknMOCdYC6I4LwTVCqcaU2oImJRBilXCSMEEB0040QVAB1IIMOTANCdsgB723mYzL41WIVaIKxtnS3A7WYOVf38qu5SL-lumGU-SjAfB7UHg6q-N8a1c1RsXbveSCIoZpoJ21N2eUq723pniuIFg2XUvu-5l6D6gN6eJjuBv0wGI98DWrs3uX5Ecz95pJ_wBtCmN_Q</recordid><startdate>201707</startdate><enddate>201707</enddate><creator>Okada, Naoki</creator><creator>Nishiyama, Takashi</creator><creator>Kurihara, Maki</creator><creator>Nishimura, Yusuke</creator><creator>Nishimura, Yoshiro</creator><creator>Ando, Yukihiro</creator><creator>Otsubo, Saori</creator><creator>Yamada, Katsumi</creator><creator>Maeda, Yuji</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4961-9341</orcidid></search><sort><creationdate>201707</creationdate><title>A case of panspinal epidural abscess that presented with meningeal irritation</title><author>Okada, Naoki ; Nishiyama, Takashi ; Kurihara, Maki ; Nishimura, Yusuke ; Nishimura, Yoshiro ; Ando, Yukihiro ; Otsubo, Saori ; Yamada, Katsumi ; Maeda, Yuji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4034-37710d91c77f92dc05d022e1ae53a50c431f397ad171dfaa1c772a77fa8a3d713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>bacterial meningitis</topic><topic>Case Report</topic><topic>Case Reports</topic><topic>epidural abscess</topic><topic>magnetic resonance imaging</topic><topic>Meningitis</topic><topic>psoas abscess</topic><topic>Spinal cord</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okada, Naoki</creatorcontrib><creatorcontrib>Nishiyama, Takashi</creatorcontrib><creatorcontrib>Kurihara, Maki</creatorcontrib><creatorcontrib>Nishimura, Yusuke</creatorcontrib><creatorcontrib>Nishimura, Yoshiro</creatorcontrib><creatorcontrib>Ando, Yukihiro</creatorcontrib><creatorcontrib>Otsubo, Saori</creatorcontrib><creatorcontrib>Yamada, Katsumi</creatorcontrib><creatorcontrib>Maeda, Yuji</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Acute medicine & surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okada, Naoki</au><au>Nishiyama, Takashi</au><au>Kurihara, Maki</au><au>Nishimura, Yusuke</au><au>Nishimura, Yoshiro</au><au>Ando, Yukihiro</au><au>Otsubo, Saori</au><au>Yamada, Katsumi</au><au>Maeda, Yuji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of panspinal epidural abscess that presented with meningeal irritation</atitle><jtitle>Acute medicine & surgery</jtitle><addtitle>Acute Med Surg</addtitle><date>2017-07</date><risdate>2017</risdate><volume>4</volume><issue>3</issue><spage>363</spage><epage>366</epage><pages>363-366</pages><issn>2052-8817</issn><eissn>2052-8817</eissn><abstract>Case
In rare cases, spinal epidural abscess involves the entire spine and can lead to neurological deficits and sepsis if treatment is delayed or suboptimal. A 65‐year‐old man was admitted with a diagnosis of bacterial meningitis. After admission, magnetic resonance imaging showed a spinal epidural abscess from the cervical to lumbar spine. Blood culture revealed Staphylococcus aureus. The patient was initially treated medically because he had no neurological deficits. Repeat blood culture remained positive and abscesses were found in the mediastinum and bilateral psoas muscles.
Outcome
Surgery was carried out and the patient's postoperative course was satisfactory.
Conclusion
Spinal epidural abscess can extensively affect the spine and may present with the symptoms of bacterial meningitis. It is essential to examine the entire spine and paraspinal regions and to treat early in cases of spinal epidural abscess.
Spinal epidural abscess can extensively affect the spine and may present with the symptom of bacterial meningitis. Examining the whole spine and paraspinal abscesses is essential in cases of spinal epidural abscess.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>29123892</pmid><doi>10.1002/ams2.294</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0003-4961-9341</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library - AutoHoldings Journals; DOAJ Directory of Open Access Journals; Wiley-Blackwell Open Access Titles; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | bacterial meningitis Case Report Case Reports epidural abscess magnetic resonance imaging Meningitis psoas abscess Spinal cord |
| title | A case of panspinal epidural abscess that presented with meningeal irritation |
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