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Updated: Dec 14, 2025

Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
Aggregatibacter aphrophilus spinal epidural abscess
Antoine Altdorfer1, Pierre Gavage2, Filip Moerman3
1Infectious diseases, CHR Citadelle, Liege, Belgium antoine.altdorfer@chrcitadelle.be.
Abstract:
A 76-year-old woman with a rare case of spinal epidural abscess (SEA) that had no risk factors for such type of infection, presented symptoms of back pain, progressive neurological deficit of the lower limb and loss of sphincter control. A gadolinium-enhanced MRI confirmed the diagnosis of an SEA. The patient underwent laminectomy with surgical drainage, where cultures showed the presence of Aggregatibacter aphrophilus, a bacterium of the HACEK group (Haemophilus species, Aggregatibacter species, Cardiobacterium hominis, Eikenella corrodens, and Kingella species), rarely involved in SEA. Following surgery, the patient was treated with intravenous ceftriaxone for 6 weeks, and this gave excellent results.
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