Korean J Nephrol.  2003 Mar;22(2):246-250.

A Case of Epidural Abscess in Hemodialysis Patient Complaining of Fever and Back Pain

• Song JC
• Kim MK
• Kim YJ
• Kim SY
• Kim YS
• You HY
• Yang CW
• Kim YS
• Bang BK

Abstract

pidural abscess in hemodialysis patient is uncommon diseases, but it causes severe neruological complication if diagnois is delayed. In the clinical practice, diagnosis of epidural abscess is often delayed because it is difficult to differentiate epidural abscess with simple back pain. Therefore, it is important to make early diagnosis and treatment of epidural abscess to prevent neurological sequellae. We here report a case of epidural abscess with early diagnosis and successful treatment. A 54-year-old male patient was admitted to back pain and fever. Under the presumptive diagnosis of epidural abscess, MRI was performed, and it revealed epidural abscess. Intravenous antibiotic treatment was started and drain of abscess was subsequently performed since back pain was persisted. He discharged without neurologic sequellae. Our case strongly suggests that epidural abscess should be considered in patients and early radiologic evaluation and treatment are mandatory to prevent neurological complication.

Keyword

Epidural abscess; Back pain; Hemodialysis

MeSH Terms

Abscess
Back Pain*
Diagnosis
Early Diagnosis
Epidural Abscess*
Fever*
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Renal Dialysis*