Korean J Med.  2016 Dec;91(3):330-333. 10.3904/kjm.2016.91.3.330.

Development of Spinal Epidural Abscess during Treatment of Pneumococcal Meningitis

• So S
• Yi S
• Park HB
• Cho YK
• Jung J
• Kim SH
• Lee SA

• KMID: 2361444
• DOI: http://doi.org/10.3904/kjm.2016.91.3.330

Abstract

There have been a few reports of pneumococcal meningitis complicated by spinal epidural abscess. A 58-year-old female with Streptococcus pneumoniae meningitis underwent a recurrent pleocytosis without apparent clinical deterioration after appropriate antibiotic treatment. Subsequently, she developed a spinal epidural abscess. Spinal epidural abscess is a rare complication of pneumococcal meningitis, and subclinical deterioration of neutrophil-dominant pleocytosis may precede development of a spinal epidural abscess in individuals with bacterial meningitis.

Keyword

Meningitis, Pneumococcal; Epidural abscess; Pleocytosis

MeSH Terms

Epidural Abscess*
Female
Humans
Leukocytosis
Meningitis, Bacterial
Meningitis, Pneumococcal*
Middle Aged