Paraspinal and Extensive Epidural Abscess: The Great Masqueraders of Abdominal Pain
Paraspinal and epidural abscesses are rare conditions often diagnosed later in the disease process that can have significant morbidity and mortality. Predisposing risk factors include diabetes, human immunodeficiency virus, intravenous drug abuse, and previous history of spinal surgery or injection....
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/103624 |
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| _version_ | 1832549459708346368 |
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| author | Andrew Chu Thu Thu Aung Uday Shankar |
| author_facet | Andrew Chu Thu Thu Aung Uday Shankar |
| author_sort | Andrew Chu |
| collection | DOAJ |
| description | Paraspinal and epidural abscesses are rare conditions often diagnosed later in the disease process that can have significant morbidity and mortality. Predisposing risk factors include diabetes, human immunodeficiency virus, intravenous drug abuse, and previous history of spinal surgery or injection. They can threaten the spinal cord by compressive effect, leading to sensory motor deficits and ultimately paralysis and death. Diagnosis may be a challenge due to the delayed presentation of nonspecific back pain or radicular pain such as chest pain or abdominal pain. We present a rare case on a patient with periumbilical pain, constipation, and urinary retention who was ultimately diagnosed with a paraspinal abscess extending into the epidural space from T1 to S2. He underwent decompressive laminectomy with incision and drainage of the abscesses. The patient made an excellent recovery postoperatively, and repeat magnetic resonance imaging at six weeks showed resolution of the abscess. |
| format | Article |
| id | doaj-art-a570fc2b580840d9a6fc9be31442bc36 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-a570fc2b580840d9a6fc9be31442bc362025-02-03T06:11:16ZengWileyCase Reports in Neurological Medicine2090-66682090-66762015-01-01201510.1155/2015/103624103624Paraspinal and Extensive Epidural Abscess: The Great Masqueraders of Abdominal PainAndrew Chu0Thu Thu Aung1Uday Shankar2Aventura Hospital and Medical Center, Internal Medicine Residency Department, 20900 Biscayne Boulevard, Aventura, FL 33180, USAAventura Hospital and Medical Center, Internal Medicine Residency Department, 20900 Biscayne Boulevard, Aventura, FL 33180, USAAventura Hospital and Medical Center, Internal Medicine Residency Department, 20900 Biscayne Boulevard, Aventura, FL 33180, USAParaspinal and epidural abscesses are rare conditions often diagnosed later in the disease process that can have significant morbidity and mortality. Predisposing risk factors include diabetes, human immunodeficiency virus, intravenous drug abuse, and previous history of spinal surgery or injection. They can threaten the spinal cord by compressive effect, leading to sensory motor deficits and ultimately paralysis and death. Diagnosis may be a challenge due to the delayed presentation of nonspecific back pain or radicular pain such as chest pain or abdominal pain. We present a rare case on a patient with periumbilical pain, constipation, and urinary retention who was ultimately diagnosed with a paraspinal abscess extending into the epidural space from T1 to S2. He underwent decompressive laminectomy with incision and drainage of the abscesses. The patient made an excellent recovery postoperatively, and repeat magnetic resonance imaging at six weeks showed resolution of the abscess.http://dx.doi.org/10.1155/2015/103624 |
| spellingShingle | Andrew Chu Thu Thu Aung Uday Shankar Paraspinal and Extensive Epidural Abscess: The Great Masqueraders of Abdominal Pain Case Reports in Neurological Medicine |
| title | Paraspinal and Extensive Epidural Abscess: The Great Masqueraders of Abdominal Pain |
| title_full | Paraspinal and Extensive Epidural Abscess: The Great Masqueraders of Abdominal Pain |
| title_fullStr | Paraspinal and Extensive Epidural Abscess: The Great Masqueraders of Abdominal Pain |
| title_full_unstemmed | Paraspinal and Extensive Epidural Abscess: The Great Masqueraders of Abdominal Pain |
| title_short | Paraspinal and Extensive Epidural Abscess: The Great Masqueraders of Abdominal Pain |
| title_sort | paraspinal and extensive epidural abscess the great masqueraders of abdominal pain |
| url | http://dx.doi.org/10.1155/2015/103624 |
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