Three cases of spinal epidural empyema
Clinical presentation diagnosis and treatment
Keywords:
SPINAL EPIDURAL EMPYEMA
Abstract
Spinal epidural empyema is a suppurating infection of the central nervous system, more frequent in male patients and during the midlife stage. Staphylococcus aureus is the most commonly found microorganism. It reaches the epidural space extending contiguously, by direct inoculation or distant spread. It manifests with fever, spinal pain and neurological deficit. Three cases of spinal epidural empyema are presented and clinical, microbiological and therapeutic considerations are made.
References
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(2) Pilkington SA, Jackson SA, Gillett GR. Spinal epidural empyema. Br J Neurosurg 2003; 17(2):196-200.
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(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.
Published
2015-12-31
How to Cite
1.
Pippo A, Legnani M, Mérola V, Higgie JR, Silvariño R. Three cases of spinal epidural empyema. Rev. Méd. Urug. [Internet]. 2015Dec.31 [cited 2024Dec.18];31(4):288-92. Available from: https://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/196
Section
Clinical Cases
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