Korean J Fam Med.  2022 Mar;43(2):147-149. 10.4082/kjfm.20.0226.

A Rare Case of Spinal Epidural Abscess Following Urinary Tract Infection Caused by Escherichia coli in a Patient with Pre-existing Stress Fractures of the Lumbar Spine

Affiliations
  • 1Department of Neurosurgery, Presbyterian Medical Center, Jeonju, Korea
  • 2Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea
  • 3Department of Radiology, Presbyterian Medical Center, Jeonju, Korea
  • 4Department of Laboratory Medicine, Presbyterian Medical Center, Jeonju, Korea

Abstract

Spinal epidural abscess (SEA) caused by Escherichia coli is an uncommon condition. It usually occurs secondary to urinary tract infection (UTI), following hematogenous propagation. Disruption of spinal anatomic barriers increases susceptibility to SEA. Although rarely, such disruption can take the form of lumbar spine stress fractures, which can result from even innocuous activity. Here, we describe a case of SEA secondary to UTI in a patient with pre-existing stress fractures of the lumbar spine, following use of an automated massage chair. Successful treatment of SEA consisted of surgical debridement and a six-month course of antibiotic therapy.

Keyword

Pyelonephritis; Abscess; Spine; Case Report
Full Text Links
  • KJFM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr