Epidural Abscess: Case Report and Review of the Literature
作者:
ColleI.,
PeetersP.,
Le RoyI.,
DiltoerM.,
D’HaensJ.,
期刊:
Acta Clinica Belgica
(Taylor Available online 1996)
卷期:
Volume 51,
issue 6
页码: 412-416
ISSN:1784-3286
年代: 1996
DOI:10.1080/22953337.1996.11718540
出版商: Taylor&Francis
数据来源: Taylor
摘要:
SummarySpinal epidural absccss is an uncommon site of infection, resulting in back pain, fever, weakness and loss of sensibility. These signs should suggest the diagnosis, and quick confirmation by MRI should be performed.Immediate surgical decompression and antibiotherapy is necessary, because this is the base of a possible successful functional recovery. Empiric therapy consisting of high dose of penicillinase-resistant antibiotics is advised because most often an epidural absccss is caused byStaphylococcus aureus.However, because other bacteria can be involved, an aminoglycoside or a cephalosporin should be added to the empiric treatment, until the results of the cultures arc known.When diagnosis and therapy are delayed, permanent paralysis and death are common.
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