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Spinal cord compression and epidural abscess extension of pleural empyema
Abel Gómez-Caro Andrés1, Vicente Díaz-Hellín Gude, Francisco Javier Moradiellos Díez
1División of Thoracic Surgery, 12 de Octubre University Hospital, Andalucía Ctra. KM 5.400, Madrid, Spain. abelitov@yahoo.es
Abstract:
We report a case of epidural extension of pleural empyema with cord compression and neurologic deficit. Surgical decompression was required and emergency bilateral laminectomy was performed with removal of abscess and granulation tissue. Methicillin-resistant Staphylococcus aureus grew in cultures of pleural and epidural specimens and appropriate intravenous antibiotics were started. In spite of early diagnosis and rapid management the patient suffered severe sequelae.
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