Yabe Hiroaki, Inoue Ryoichi, Yanai Ryo, Nishimi Shinichiro
Division of Rheumatology, Department of Medicine, Showa University School of Medicine, Tokyo, JPN.
Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, USA.
Cureus. 2024 Sep 1;16(9):e68408. doi: 10.7759/cureus.68408. eCollection 2024 Sep.
() is a gram-negative bacterium known to cause gastroenteritis with fever, abdominal pain, and bloody diarrhea. Although bacteremia is reported in patients with gastroenteritis, localized abscess formation, particularly spinal epidural abscess (SEA), is extremely rare and can easily be missed. Herein, we report a case of a 54-year-old immunocompromised female presenting with severe back pain without gastrointestinal symptoms, who was ultimately diagnosed with an L5/S1 SEA due to , requiring laminectomy and drainage. As far as we know, this is the second reported case of SEA due to without any preceding gastrointestinal symptoms. This case highlights the critical importance of performing a contrasted MRI for the early and accurate diagnosis of SEA.
（）是一种革兰氏阴性菌，已知可引起伴有发热、腹痛和血性腹泻的肠胃炎。虽然肠胃炎患者中报告有菌血症，但局部脓肿形成，尤其是脊柱硬膜外脓肿（SEA）极为罕见，且很容易被漏诊。在此，我们报告一例54岁免疫功能低下的女性病例，该患者表现为严重背痛但无胃肠道症状，最终因（）被诊断为L5/S1节段的SEA，需要进行椎板切除术和引流。据我们所知，这是第二例报告的因（）导致的SEA病例，且无任何先前的胃肠道症状。该病例凸显了进行对比增强磁共振成像以早期准确诊断SEA的至关重要性。
