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Spinal epidural abscess: a rare complication of olecranon bursitis

Rhys D.R. Evans, Moe Thaya, Ne Siang Chew, Charles E.R. Gibbons

Authors information
  • Rhys D.R. Evans
    Departments of Orthopaedics and Radiology, Chelsea & Westminster Hospital, London, United Kingdom.
  • Moe Thaya
    Departments of Orthopaedics and Radiology, Chelsea & Westminster Hospital, London, United Kingdom.
  • Ne Siang Chew
    Departments of Orthopaedics and Radiology, Chelsea & Westminster Hospital, London, United Kingdom.

Abstract


Spinal epidural abscess is a rare but potentially fatal condition if left untreated. We report the case of a 67-year old man who presented to the Accident and Emergency department complaining of acute onset of inter-scapular back pain, left leg weakness and loss of sensation in the left foot. On examination he was found to be pyrexial with long tract signs in the left lower leg. In addition he had a left sided olecranon bursitis of three weeks duration. Blood tests revealed raised inflammatory markers and a staphylococcal bacteremia. Magnetic resonance imaging (MRI) confirmed the diagnosis of spinal epidural abscess and he subsequently underwent a three level laminectomy with good resolution of his back pain and neurological symptoms. He has made a complete recovery with a prolonged course of intravenous antibiotics.

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Submitted: 2009-02-06 11:40:05
Published: 2009-03-27 07:28:14
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Orthopedic Reviews [eISSN 2035-8164] is an Open Access, peer-reviewed journal published by PAGEPress, Pavia, Italy. All credits and honors to PKP for their OJS.

 

 
 
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