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Case Report

Online Publishing Date:
11 / 08 / 2020

 


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

Joana Alves Vaz, João Paulo Andrade, Maria Manuela Soares, José 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

Vaz JA, Andrade JP, Soares MM, Cabral J. Epidural spinal abscess from pneumonia in an immunocompetent patient: A case report. Int J Med Rev Case Rep. 2020; 4(9): 40-42. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia

Web Style

Vaz JA, Andrade JP, Soares MM, Cabral J. Epidural spinal abscess from pneumonia in an immunocompetent patient: A case report. https://www.mdpub.net/?mno=110204 [Access: April 04, 2024]. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia

AMA (American Medical Association) Style

Vaz JA, Andrade JP, Soares MM, Cabral J. Epidural spinal abscess from pneumonia in an immunocompetent patient: A case report. Int J Med Rev Case Rep. 2020; 4(9): 40-42. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia


Vancouver/ICMJE Style

Vaz JA, Andrade JP, Soares MM, Cabral J. Epidural spinal abscess from pneumonia in an immunocompetent patient: A case report. Int J Med Rev Case Rep. (2020), [cited April 04, 2024]; 4(9): 40-42. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia


Harvard Style

Vaz, J. A., Andrade, . J. P., Soares, . M. M. & Cabral, . J. (2020) Epidural spinal abscess from pneumonia in an immunocompetent patient: A case report. Int J Med Rev Case Rep, 4 (9), 40-42. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia


Turabian Style

Vaz, Joana Alves, João Paulo Andrade, Maria Manuela Soares, and José Cabral. 2020. Epidural spinal abscess from pneumonia in an immunocompetent patient: A case report. International Journal of Medical Reviews and Case Reports, 4 (9), 40-42. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia


Chicago Style

Vaz, Joana Alves, João Paulo Andrade, Maria Manuela Soares, and José Cabral. "Epidural spinal abscess from pneumonia in an immunocompetent patient: A case report." International Journal of Medical Reviews and Case Reports 4 (2020), 40-42. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia


MLA (The Modern Language Association) Style

Vaz, Joana Alves, João Paulo Andrade, Maria Manuela Soares, and José Cabral. "Epidural spinal abscess from pneumonia in an immunocompetent patient: A case report." International Journal of Medical Reviews and Case Reports 4.9 (2020), 40-42. Print. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia


APA (American Psychological Association) Style

Vaz, J. A., Andrade, . J. P., Soares, . M. M. & Cabral, . J. (2020) Epidural spinal abscess from pneumonia in an immunocompetent patient: A case report. International Journal of Medical Reviews and Case Reports, 4 (9), 40-42. doi:10.5455/IJMRCR.Epidural-spinal-abscess-pneumonia


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