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Spinal Subdural Abscess Following Food Intoxication: A Case Report
Tatsuto Takeuchi1, Keiichi Shigenobu1
1Department of Orthopedic Surgery, KKR Sapporo Medical Center, Sapporo, Japan.
Spine Surgery and Related Research
|August 23, 2019
Summary
A rare case of spinal subdural abscess (SSA) occurred after food intoxication in a healthy individual. Early MRI diagnosis and emergent surgery led to complete recovery, highlighting the importance of prompt intervention for severe low back pain with fever.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Spinal subdural abscess (SSA) is a rare condition, often associated with immunosuppression.
- Staphylococcus aureus is the most common causative organism.
- This report details an unusual case of SSA in an otherwise healthy individual following food intoxication.
Observation:
- A 42-year-old man presented with fever, severe low back pain, and restricted trunk motion after consuming contaminated food.
- Laboratory tests revealed leukocytosis and elevated C-reactive protein; blood cultures identified Staphylococcus aureus.
- MRI demonstrated contiguous epidural and subdural fluid collections through a dural defect.
Findings:
- Surgical intervention yielded pus positive for Staphylococcus aureus.
- The patient received postoperative antibiotic therapy.
- Complete recovery was achieved within one month post-surgery.
Implications:
- This case underscores that spinal subdural abscess can occur in healthy individuals after food intoxication.
- Early diagnosis via MRI, identifying dural defects and fluid collections, is crucial.
- Prompt surgical decompression and antibiotic treatment are vital for favorable outcomes in suspected SSA.
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