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Published on: February 9, 2011
Epidural abscess related to Streptococcus mitis in a 57-year-old immunocompetent patient
Marc Prod'homme1, Didier Grasset2, Marc Chalaron3
1Neuro Orthopedic Center, La Source College of Health, Lausanne, Vaud, Switzerland marcprod86@gmail.com.
Abstract:
A 57-year-old immunocompetent male patient presented himself to our emergency department with lumbar pain for 10 days, after a lumbar torsion. He was neurologically intact, but showed signs of systemic inflammatory syndrome. A lumbar MRI found a spinal epidural abscess from L3-L4 to L5-S1 levels. The patient was operated early before occurrence of neurological deficit. The abscess cultures found a Streptococcus mitis infection. The patient made a good recovery after surgical decompression, washout with samples taken for cultures and targeted antibiotic therapy for 6 weeks.
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