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Citrobacter koseri: A rare cause of an epidural spinal abscess
Martín R Casas-Martínez1, Héctor A Rodríguez-Rubio1, Alfredo Bonilla-Suastegui1
1Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
Background:
Citrobacter koseri, a Gram-negative organism, rarely causes an epidural spinal abscess.
Case Description:
A 50-year-old male presented with mild paraparesis attributed to an magnetic resonance (MR)-documented spinal epidural abscess (SEA) at the T10-level. Following surgical debridement, cultures grew C. koseri, a rare Gram-negative organism. The abscess was subsequently managed with a prolonged course of antibiotics resulting in complete symptom and MR-documented radiological resolution.
Conclusion:
A 50-year-old male presented with a T10 SEA attributed to a rare Gram-negative organism, C. koseri. The abscess was appropriately managed with surgical decompression/debridement, followed by prolonged antibiotic therapy.
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