Korean J Spine.  2015 Mar;12(1):22-25. 10.14245/kjs.2015.12.1.22.

Cervical Epidural Abscess: Rare Complication of Bacterial Endocarditis with Streptococcus Viridans: A Case Report

• Oh JS
• Shim JJ
• Lee KS
• Doh JW

• KMID: 1789567
• DOI: http://doi.org/10.14245/kjs.2015.12.1.22

Abstract

Although many patients with infective endocarditis (IE) complain of joint, muscle, and back pain, infections at these sights are rare. The incidence of spinal abscess in cervical spine complicating endocarditis is very rare. Although the surgical management is the mainstay of treatment, conservative treatment can get success in selected patients. We report a patient with cervical epidural abscess due to Streptococcus viridans endocarditis. Both epidural abscess and IE were managed conservatively with intravenous antibiotics for 8 weeks, with recovery. It is important to remind spinal epidural abscess can occur in those patients with bacterial endocarditis.

Keyword

Spondylitis; Abscess; Endocarditis; Streptococcus viridans

MeSH Terms

Abscess
Anti-Bacterial Agents
Back Pain
Endocarditis
Endocarditis, Bacterial*
Epidural Abscess*
Humans
Incidence
Joints
Spine
Spondylitis
Viridans Streptococci*
Anti-Bacterial Agents