Related Experiment Video
Updated: May 8, 2026
03:47
A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
Citrobocter kasori spinal epidural abscess: a rare occurrence
Ashok Kumar1, Pramod Jain, Pritish Singh
1Department of Orthopaedics and Traumatology, Mahatma Gandhi Institute of Medical Sciences, Sewagram 442102, India.
Journal of the Indian Medical Association
|September 5, 2013
Summary
A rare spinal epidural abscess caused by Citrobacter kasori led to paraplegia. Prompt diagnosis and surgical intervention with antibiotics are crucial for managing this severe infection.
Area of Science:
- Infectious Diseases
- Neurosurgery
- Medical Microbiology
Background:
- Pyogenic spinal epidural abscess (SEPA) is an uncommon but serious infection.
- Delayed diagnosis and treatment of SEPA can lead to severe neurological deficits, including paraplegia.
Observation:
- A case of SEPA with sinus tract formation at the L4-L5 level is presented.
- The condition progressed to paraplegia.
- Magnetic Resonance Imaging (MRI) revealed an extensive epidural abscess from T12 to S1.
Findings:
- Surgical decompression via laminectomy and pus evacuation was performed.
- Antibiotic therapy was guided by culture and sensitivity testing.
- Histopathology confirmed an acute suppurative abscess.
- Citrobacter kasori was identified as the causative organism, a rare finding in SEPA.
Implications:
- This case highlights the importance of early recognition and aggressive management of SEPA.
- The identification of Citrobacter kasori underscores the diverse microbial spectrum that can cause SEPA.
- Effective treatment involves a combination of surgical decompression and targeted antibiotic therapy.
Related Concept Videos
01:26Brain Abscess l: Introduction
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
01:11Local Anesthetics: Clinical Application as Spinal Anesthesia
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
01:30Bacterial Phylum Actinobacteria
Coryneform bacteria are gram-positive, aerobic, nonmotile rods that exhibit irregular, club-shaped, or V-shaped arrangements. Their V-shape results from snapping division, where the inner cell wall layer forms the cross-wall, while the outer layer remains intact until it ruptures on one side, causing the daughter cells to bend away.The primary genera are Corynebacterium and Arthrobacter. Corynebacterium includes diverse species, ranging from saprophytes to pathogens like Corynebacterium...
01:22Bacterial Meningitis I: Introduction
Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...