Ocular Infection Preceding Major Epidural Abscess
Staphylococcal bacteremia is an important clinical entity. A 74-year-old lady presented with an isolated staphylococcal ocular infection; this was treated with a short course of antibiotics, a prolonged course of steroids, and discharge from hospital with outpatient clinic followup. She represented...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2014/245013 |
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| _version_ | 1832556229332828160 |
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| author | Liam Dunbar Ryan Johnstone |
| author_facet | Liam Dunbar Ryan Johnstone |
| author_sort | Liam Dunbar |
| collection | DOAJ |
| description | Staphylococcal bacteremia is an important clinical entity. A 74-year-old lady presented with an isolated staphylococcal ocular infection; this was treated with a short course of antibiotics, a prolonged course of steroids, and discharge from hospital with outpatient clinic followup. She represented three weeks later to the emergency department with back pain, raised inflammatory markers, and positive blood cultures. On magnetic resonance imaging (MRI), an extensive epidural collection was seen. This was surgically decompressed, and she was treated with appropriate intravenous antibiotics. Despite a complicated postoperative course, she made an excellent recovery. This case reviews the important clinical and radiological features of the presentation of a major epidural abscess and it also suggests a potentially unusual primary source. The clinician is reminded to always have a high index of suspicion regarding staphylococcal bacteremia and the potential for seeding to the epidural space. |
| format | Article |
| id | doaj-art-e6223359e6f943039386c6ba98c32416 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-e6223359e6f943039386c6ba98c324162025-02-03T05:45:59ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/245013245013Ocular Infection Preceding Major Epidural AbscessLiam Dunbar0Ryan Johnstone1Hutt Valley DHB, Private Bag 31907, Wellington, Lower Hutt 5040, New ZealandHutt Valley DHB, Private Bag 31907, Wellington, Lower Hutt 5040, New ZealandStaphylococcal bacteremia is an important clinical entity. A 74-year-old lady presented with an isolated staphylococcal ocular infection; this was treated with a short course of antibiotics, a prolonged course of steroids, and discharge from hospital with outpatient clinic followup. She represented three weeks later to the emergency department with back pain, raised inflammatory markers, and positive blood cultures. On magnetic resonance imaging (MRI), an extensive epidural collection was seen. This was surgically decompressed, and she was treated with appropriate intravenous antibiotics. Despite a complicated postoperative course, she made an excellent recovery. This case reviews the important clinical and radiological features of the presentation of a major epidural abscess and it also suggests a potentially unusual primary source. The clinician is reminded to always have a high index of suspicion regarding staphylococcal bacteremia and the potential for seeding to the epidural space.http://dx.doi.org/10.1155/2014/245013 |
| spellingShingle | Liam Dunbar Ryan Johnstone Ocular Infection Preceding Major Epidural Abscess Case Reports in Orthopedics |
| title | Ocular Infection Preceding Major Epidural Abscess |
| title_full | Ocular Infection Preceding Major Epidural Abscess |
| title_fullStr | Ocular Infection Preceding Major Epidural Abscess |
| title_full_unstemmed | Ocular Infection Preceding Major Epidural Abscess |
| title_short | Ocular Infection Preceding Major Epidural Abscess |
| title_sort | ocular infection preceding major epidural abscess |
| url | http://dx.doi.org/10.1155/2014/245013 |
| work_keys_str_mv | AT liamdunbar ocularinfectionprecedingmajorepiduralabscess AT ryanjohnstone ocularinfectionprecedingmajorepiduralabscess |