E-ISSN 2534-9821
 

Case Report 


Epidural spinal abscess from pneumonia in an immunocompetent patient: a case report.

Joana Alves Vaz, Jo„o Paulo Andrade , Maria Manuela Soares, Josť Cabral .

Abstract
Spontaneous spinal epidural abscesses are rare and often present high mortality due to late diagnosis. Spinal epidural abscesses are mainly formed by spondylodiscitis, osteomyelitis, hematogenous dissemination, or by local manipulation (surgery or epidural catheter placement). Recommended treatment is surgical medullar decompression followed by targeted antibiotic therapy.
Authors document a case of a 51-year-old female, smoker, with bipolar disease and a recent hospitalization due to pneumonia. She was treated with antibiotic therapy with complete resolution of symptoms and laboratory abnormalities. After discharge, she reports periodic fever episodes, with no identified focus and not valued by her. About a month later, sudden paraparesis occurred, and an epidural abscess was diagnosed and it was submitted to surgical drainage. After spinal decompression, she underwent antibiotic therapy for twelve weeks with complete neurological recovery. Although uncommon, spinal epidural abscesses may be formed by contiguity lesions in the pleural space.

Key words: Epidural spinal abscess, paraparesis


 
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How to Cite this Article
Pubmed Style

Joana Alves Vaz|Jo„o Paulo Andrade |Maria Manuela Soares|Josť Cabral |. Epidural spinal abscess from pneumonia in an immunocompetent patient: a case report.. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia


Web Style

Joana Alves Vaz|Jo„o Paulo Andrade |Maria Manuela Soares|Josť Cabral |. Epidural spinal abscess from pneumonia in an immunocompetent patient: a case report.. http://www.mdpub.net/?mno=110204 [Access: November 06, 2020]. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia


AMA (American Medical Association) Style

Joana Alves Vaz|Jo„o Paulo Andrade |Maria Manuela Soares|Josť Cabral |. Epidural spinal abscess from pneumonia in an immunocompetent patient: a case report.. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia



Vancouver/ICMJE Style

Joana Alves Vaz|Jo„o Paulo Andrade |Maria Manuela Soares|Josť Cabral |. Epidural spinal abscess from pneumonia in an immunocompetent patient: a case report.. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia



Harvard Style

Joana Alves Vaz|Jo„o Paulo Andrade |Maria Manuela Soares|Josť Cabral | (2020) Epidural spinal abscess from pneumonia in an immunocompetent patient: a case report.. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia



Turabian Style

Joana Alves Vaz|Jo„o Paulo Andrade |Maria Manuela Soares|Josť Cabral |. 2020. Epidural spinal abscess from pneumonia in an immunocompetent patient: a case report.. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia



Chicago Style

Joana Alves Vaz|Jo„o Paulo Andrade |Maria Manuela Soares|Josť Cabral |. "Epidural spinal abscess from pneumonia in an immunocompetent patient: a case report.." doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia



MLA (The Modern Language Association) Style

Joana Alves Vaz|Jo„o Paulo Andrade |Maria Manuela Soares|Josť Cabral |. "Epidural spinal abscess from pneumonia in an immunocompetent patient: a case report.." doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia



APA (American Psychological Association) Style

Joana Alves Vaz|Jo„o Paulo Andrade |Maria Manuela Soares|Josť Cabral | (2020) Epidural spinal abscess from pneumonia in an immunocompetent patient: a case report.. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia