Empiema epidural espinal
Clínica, diagnóstico y tratamiento a propósito de tres casos
Palabras clave:
EMPIEMA EPIDURAL ESPINAL
Resumen
El empiema epidural espinal (EEE) es una infección supurada del sistema nervioso central, predomina en el sexo masculino y en la edad media de la vida. El microorganismo mayormente implicado es Staphylococcus aureus. Alcanza el espacio epidural por contigüidad, inoculación directa o diseminación a distancia. Se manifiesta con fiebre, dolor espinal y déficit neurológico. Se presentan tres casos de EEE y se realizan consideraciones clínicas, microbiológicas y terapéuticas.
Citas
(1) Sendi P, Bregenzer T, Zimmerli W. Spinal epidural abscess in clinical practice. QJM 2008; 101(1):1-12.
(2) Pilkington SA, Jackson SA, Gillett GR. Spinal epidural empyema. Br J Neurosurg 2003; 17(2):196-200.
(3) Darouiche RO. Spinal epidural abscess. N Engl J Med 2006; 355(19):2012-20.
(4) Cook TM, Counsell D, Wildsmith JA. Major complications of central neuraxial block: report on the Third National Audit Project of the Royal College of Anaesthetists. Br J Anaesth 2009; 102(2):179-90.
(5) Sethna NF, Clendenin D, Athiraman U, Solodiuk J, Rodriguez DP, Zurakowski D. Incidence of epidural catheter-associated infections after continuous epidural analgesia in children. Anesthesiology 2010; 113(1):224-32.
(6) Pöpping DM, Zahn PK, Van Aken HK, Dasch B, Boche R, Pogatzki-Zahn EM. Effectiveness and safety of postoperative pain management: a survey of 18925 consecutive patients between 1998 and 2006 (2nd revision): a database analysis of prospectively raised data. Br J Anaesth 2008; 101(6):832-40.
(7) Reynolds F. Neurological infections after neuraxial anesthesia. Anesthesiol Clin 2008; 26(1):23-52.
(8) Scott DB, Hibbard BM. Serious non-fatal complications associated with extradural block in obstetric practice. Br J Anaesth 1990; 64(5):537-41.
(9) Tunkel AR. Empiema subdural, absceso epidural y tromboflebitis. En: Mandell G, Bennett J, Dolin, MD. Enfermedades infecciosas. Infecciones en pacientes quirúrgicos. Barcelona: Elsevier, 2012:160-8.
(10) Danner RL, Hartman BJ. Update on spinal epidural abscess: 35 cases and review of the literature. Rev Infect Dis 1987; 9(2):265-74.
(11) Nussbaum ES, Rigamonti D, Standiford H, Numaguchi Y, Wolf AL, Robinson WL. Spinal epidural abscess: a report of 40 cases and review. Surg Neurol 1992; 38(3):225-31.
(12) Darouiche RO, Hamill RJ, Greenberg SB, Weathers SW, Musher DM. Bacterial spinal epidural abscess. Review of 43 cases and literature survey. Medicine (Baltimore) 1992; 71(6):369-85.
(13) Rigamonti D, Liem L, Wolf AL, Fiandaca MS, Numaguchi Y, Hsu FP, et al. Epidural abscess in the cervical spine. Mt Sinai J Med 1994; 61(4):357-62.
(14) Holt HM, Andersen SS, Andersen O, Gahrn-Hansen B, Siboni K. Infections following epidural catheterization. J Hosp Infect 1995; 30(4):253-60.
(15) Gelabert-González M, González-García J, Fernández-Villa JM, GarcíaAallut A, Martínez-Rumbo R. Empiema epidural espinal: análisis de 14 casos. Neurocirugía 2004; 15(6):543-51.
(16) Davis DP, Wold RM, Patel RJ, Tran AJ, Tokhi RN, Chan TC, et al. The clinical presentation and impact of diagnostic delays on emergency department patients with spinal epidural abscess. J Emerg Med 2004; 26(3):285-91.
(17) Liem LK, Rigamonti D, Wolf AL, Robinson WL, Edwards CC, DiPatri A. Thoracic epidural abscess. J Spinal Disord 1994; 7(5):449-54.
(2) Pilkington SA, Jackson SA, Gillett GR. Spinal epidural empyema. Br J Neurosurg 2003; 17(2):196-200.
(3) Darouiche RO. Spinal epidural abscess. N Engl J Med 2006; 355(19):2012-20.
(4) Cook TM, Counsell D, Wildsmith JA. Major complications of central neuraxial block: report on the Third National Audit Project of the Royal College of Anaesthetists. Br J Anaesth 2009; 102(2):179-90.
(5) Sethna NF, Clendenin D, Athiraman U, Solodiuk J, Rodriguez DP, Zurakowski D. Incidence of epidural catheter-associated infections after continuous epidural analgesia in children. Anesthesiology 2010; 113(1):224-32.
(6) Pöpping DM, Zahn PK, Van Aken HK, Dasch B, Boche R, Pogatzki-Zahn EM. Effectiveness and safety of postoperative pain management: a survey of 18925 consecutive patients between 1998 and 2006 (2nd revision): a database analysis of prospectively raised data. Br J Anaesth 2008; 101(6):832-40.
(7) Reynolds F. Neurological infections after neuraxial anesthesia. Anesthesiol Clin 2008; 26(1):23-52.
(8) Scott DB, Hibbard BM. Serious non-fatal complications associated with extradural block in obstetric practice. Br J Anaesth 1990; 64(5):537-41.
(9) Tunkel AR. Empiema subdural, absceso epidural y tromboflebitis. En: Mandell G, Bennett J, Dolin, MD. Enfermedades infecciosas. Infecciones en pacientes quirúrgicos. Barcelona: Elsevier, 2012:160-8.
(10) Danner RL, Hartman BJ. Update on spinal epidural abscess: 35 cases and review of the literature. Rev Infect Dis 1987; 9(2):265-74.
(11) Nussbaum ES, Rigamonti D, Standiford H, Numaguchi Y, Wolf AL, Robinson WL. Spinal epidural abscess: a report of 40 cases and review. Surg Neurol 1992; 38(3):225-31.
(12) Darouiche RO, Hamill RJ, Greenberg SB, Weathers SW, Musher DM. Bacterial spinal epidural abscess. Review of 43 cases and literature survey. Medicine (Baltimore) 1992; 71(6):369-85.
(13) Rigamonti D, Liem L, Wolf AL, Fiandaca MS, Numaguchi Y, Hsu FP, et al. Epidural abscess in the cervical spine. Mt Sinai J Med 1994; 61(4):357-62.
(14) Holt HM, Andersen SS, Andersen O, Gahrn-Hansen B, Siboni K. Infections following epidural catheterization. J Hosp Infect 1995; 30(4):253-60.
(15) Gelabert-González M, González-García J, Fernández-Villa JM, GarcíaAallut A, Martínez-Rumbo R. Empiema epidural espinal: análisis de 14 casos. Neurocirugía 2004; 15(6):543-51.
(16) Davis DP, Wold RM, Patel RJ, Tran AJ, Tokhi RN, Chan TC, et al. The clinical presentation and impact of diagnostic delays on emergency department patients with spinal epidural abscess. J Emerg Med 2004; 26(3):285-91.
(17) Liem LK, Rigamonti D, Wolf AL, Robinson WL, Edwards CC, DiPatri A. Thoracic epidural abscess. J Spinal Disord 1994; 7(5):449-54.
Publicado
2015-12-31
Cómo citar
1.
Pippo A, Legnani M, Mérola V, Higgie JR, Silvariño R. Empiema epidural espinal. Rev. Méd. Urug. [Internet]. 31 de diciembre de 2015 [citado 26 de abril de 2024];31(4):288-92. Disponible en: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/196
Sección
Casos Clínicos
