An uncommon presentation of multiple spinal epidural abscesses: A case report

Area of Science:

• Neurology
• Infectious Diseases
• Neurosurgery

Background:

• Spinal epidural abscess (SEA) is a rare but serious infection of the spinal cord's epidural space.
• SEA is increasingly linked to invasive spinal procedures and intravenous drug use.
• Timely diagnosis and intervention are critical to mitigate potential neurological deficits.

Observation:

• A 51-year-old male presented with urinary/bowel obstruction, right hemiplegia, fever, and jaundice.
• Neurological examination revealed significant deficits.
• Imaging and cerebrospinal fluid analysis confirmed multiple epidural abscesses.

Findings:

• Cultures identified Staphylococcus aureus.
• The pathogen was sensitive to vancomycin and meropenem.
• The patient's presentation highlighted variable and nonspecific symptoms common in SEA.

Implications:

• Accurate medical history and prompt imaging are crucial for diagnosing SEA.
• Early surgical drainage and targeted antibiotic therapy improve patient outcomes.
• Increased awareness of SEA in at-risk populations is essential for preventing irreversible neurological damage.