Kals Karanvir S, Ramayani Aakriti, Hariharan Radhika, Lee Thomas T
Internal Medicine Residency Program, St. John's Riverside Hospital, Yonkers, USA.
Infectious Disease, St. John's Riverside Hospital, Yonkers, USA.
Cureus. 2023 Aug 1;15(8):e42802. doi: 10.7759/cureus.42802. eCollection 2023 Aug.
Spinal epidural abscess (SEA) is a rare, life-threatening infection that typically presents with fever, back pain, and neurologic deficits. Although most commonly caused by , this case reviews a rare occurrence of a multilevel SEA caused by in a 62-year-old female with uncontrolled type II diabetes mellitus. The patient initially presented with lower back pain and was subsequently diagnosed with a SEA complicated by hyperglycemia. A prompt diagnosis with magnetic resonance imaging (MRI) revealed extensive abscess formation, leading to emergent neurosurgical intervention. was identified as the causative organism through culture. The report emphasizes the challenges of early detection of SEA and highlights the importance of considering unusual pathogens in high-risk patients. Timely management is crucial to prevent permanent neurologic deficits and to achieve favorable outcomes.
脊柱硬膜外脓肿（SEA）是一种罕见的、危及生命的感染，通常表现为发热、背痛和神经功能缺损。虽然最常见的病因是 ，但本病例回顾了一名62岁患有II型糖尿病且血糖控制不佳的女性罕见地发生了由 引起的多节段SEA。患者最初表现为下背部疼痛，随后被诊断为并发高血糖的SEA。通过磁共振成像（MRI）迅速诊断出广泛的脓肿形成，导致紧急神经外科干预。通过培养确定 为病原体。该报告强调了早期检测SEA的挑战，并突出了在高危患者中考虑不寻常病原体的重要性。及时治疗对于预防永久性神经功能缺损和取得良好预后至关重要。
