Awan Rehmat Ullah, Nabeel Ambreen, Alsaggaf Mohammed
Ochsner Rush, Meridian, Mississippi, USA.
Ochsner Health System, New Orleans, Louisiana, USA.
Case Rep Infect Dis. 2022 May 20;2022:5028335. doi: 10.1155/2022/5028335. eCollection 2022.
SEAs are infrequent; however, panspinal infections are even rarer, especially when GBS infection is involved. The cornerstone of treatment is based on early diagnosis and use of targeted antimicrobial therapy; in case of cord compression or neurological compromise, urgent surgical intervention should be pursued. Overall, it is an infrequent condition and therefore requires prospective multicenter studies. . We describe a case who presented with diabetic lower extremity wounds; however, soon the patient developed bowel and bladder incontinence in the setting of back pain, secondary to panspinal epidural abscess. The patient's case is unique in two aspects: firstly, it is panspinal, and secondly, its causative agent is GBS.
Prompt diagnosis of SEA is critical in the preservation of neurological function. Anyone presenting with fevers, back pain, and neurological changes should have urgent MRI evaluation of the spine.
脊柱硬膜外脓肿（SEA）并不常见；然而，全脊柱感染更为罕见，尤其是涉及到GBS感染时。治疗的关键在于早期诊断和使用针对性的抗菌治疗；如果出现脊髓受压或神经功能损害，应进行紧急手术干预。总体而言，这是一种罕见病症，因此需要前瞻性多中心研究。我们描述了一例出现糖尿病下肢伤口的患者；然而，不久后该患者在背痛的情况下出现了大小便失禁，继发于全脊柱硬膜外脓肿。该患者的病例在两个方面具有独特性：首先，它是全脊柱的，其次，其病原体是GBS。
SEA的及时诊断对于神经功能的保留至关重要。任何出现发热、背痛和神经改变的患者都应紧急进行脊柱MRI评估。
