Long Segment Spinal Epidural Abscess With Acute Intestinal Obstruction: A Case Report and Literature Review
Shitashma Bohara1, Susmin Karki2, Bikas Thapa3
1Star Hospital Lalitpur Nepal.
Clinical Case Reports
|October 1, 2025
Summary
Spinal epidural abscess (SEA) is a serious infection. Early diagnosis and treatment are crucial for better outcomes, especially in resource-limited settings.
Area of Science:
- Neurology
- Infectious Diseases
- Public Health
Background:
- Spinal epidural abscess (SEA) is a severe condition often presenting with vague symptoms, leading to diagnostic delays.
- Co-occurrence with acute abdominal issues can further complicate SEA diagnosis and management.
- Delayed diagnosis and comorbidities negatively impact patient outcomes.
Purpose of the Study:
- To investigate the clinical presentation of SEA.
- To explore diagnostic challenges associated with SEA.
- To examine treatment strategies for SEA in low and middle-income countries (LMICs).
Main Methods:
- Case report of a 55-year-old male with SEA presenting with low back pain, fever, and paraparesis.
- Review of clinical presentation, diagnostic modalities, and treatment outcomes.
- Focus on challenges specific to LMICs.
Main Results:
- The patient presented with classic SEA symptoms: low back pain, fever, and paraparesis.
- Diagnostic delays were noted due to non-specific initial symptoms.
- Treatment involved a multi-faceted approach addressing infection and neurological deficits.
Conclusions:
- SEA requires prompt recognition and intervention to prevent severe complications.
- Diagnostic and management strategies for SEA in LMICs need tailored approaches.
- This case highlights the importance of considering SEA even with co-existing abdominal complaints.
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