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Brucellar spinal epidural abscess.

M A Pina1, J R Ara, P J Modrego

  • 1Department of Neurology, Obispo Polanco Hospital, Teruel, Spain.

European Journal of Neurology
|April 21, 1999
PubMed
Summary
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Spinal epidural abscesses are rare but serious. This case highlights Brucella as a cause of cervical epidural abscess, emphasizing atypical presentations and diagnostic challenges.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Spinal Surgery

Background:

  • Spinal epidural abscesses (SEAs) are uncommon, affecting roughly 1 in 10,000 hospital admissions.
  • The thoracic spine is most commonly affected; cervical spine involvement is less frequent.
  • Staphylococcus aureus is the predominant pathogen, though other bacteria like Brucella can be implicated.

Observation:

  • A patient presented with cervical spondylodiscitis at C4-C5 and a spinal epidural abscess.
  • The abscess caused significant compression of the spinal cord and retropharyngeal space.
  • The patient exhibited atypical preceding symptoms suggestive of brucellosis.

Findings:

  • Brucella species were identified as the causative agent of the cervical epidural abscess.

Related Experiment Videos

  • The case underscores the importance of considering less common pathogens in SEA etiology.
  • Atypical brucellosis symptoms preceded the development of the spinal epidural abscess.

    • Implications:

    • This case broadens the differential diagnosis for cervical epidural abscesses.
    • Early recognition and appropriate antibiotic therapy are crucial for managing Brucella-related spinal infections.
    • Further research into atypical presentations of brucellosis and spinal infections is warranted.