Panspinal Epidural Abscess: A Devastating Complication of Group B Streptococcal Bacteremia. (20th May 2022)

• Record Type: Journal Article
• Authors: Awan, Rehmat Ullah; Nabeel, Ambreen; Alsaggaf, Mohammed
• Other Names: Skiada Annac Academic Editor.
• Is Part Of: Case reports in infectious diseases. Volume 2022(2022)
• Publication Date: 2022-05-20
• Subjects: Communicable diseases -- Periodicals; Communicable diseases -- Case studies -- Periodicals; Communicable Diseases; Infectious Disease Medicine; Communicable diseases; Electronic journals; Periodicals; Case studies; Periodicals; 616.9
• DOI: 10.1155/2022/5028335
• Languages: English
• ISSNs: 2090-6625

Abstract

Abstract : Background . SEAs are infrequent; however, panspinal infections are even rarer, especially when GBS infection is involved. The cornerstone of treatment is based on early diagnosis and use of targeted antimicrobial therapy; in case of cord compression or neurological compromise, urgent surgical intervention should be pursued. Overall, it is an infrequent condition and therefore requires prospective multicenter studies. Case Presentation . We describe a case who presented with diabetic lower extremity wounds; however, soon the patient developed bowel and bladder incontinence in the setting of back pain, secondary to panspinal epidural abscess. The patient's case is unique in two aspects: firstly, it is panspinal, and secondly, its causative agent is GBS. Conclusion . Prompt diagnosis of SEA is critical in the preservation of neurological function. Anyone presenting with fevers, back pain, and neurological changes should have urgent MRI evaluation of the spine.