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Year : 2019  |  Volume : 37  |  Issue : 4  |  Page : 590-592

A rare aetiology of spinal epidural abscess

1 Department of Clinical Microbiology and Immunology, Sir Gangaram Hospital, New Delhi, India
2 Department of Spinal Surgery, Sir Gangaram Hospital, New Delhi, India

Correspondence Address:
Chand Wattal
Department of Clinical Microbiology and Immunology, Sir Gangaram Hospital, Raginder Nagar, New Delhi - 110 060
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijmm.IJMM_19_493

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Spinal epidural abscess (SEA) due to Streptococcus pneumoniae is a rare entity, but it is associated with high mortality. Here, we describe a rare case of pneumococcal SEA in an immunocompetent adult who presented with fever, lower back pain and paresis. Central nervous system examination revealed a decreased power in bilateral lower limbs. Magnetic resonance imaging of the lumbosacral spine showed loculated pus collection in the epidural space at the level of L4–L5 vertebrae. Pus obtained following L4–L5 decompression along with blood cultures grew S. pneumoniae. The patient was treated with clindamycin and cefoperazone-sulbactam for 6 weeks, and no relapse was noted on 11 months follow-up.


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2004 - Indian Journal of Medical Microbiology
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