Chen, "Salmonella typhi vertebral osteomyelitis and
epidural abscess," Case Reports in Orthopedics, vol.
In this case, the patient was thought to have no known risk factors because she denied IVDA, and
epidural abscess was diagnosed after MRI.
After the surgical drainage of the
epidural abscess and debridement of the osteomyelitic focus, the fistulous canal and inflamed mucosa of the frontal sinus were removed.
Neurologic complications from osteomyelitis often arise from
epidural abscess formation and since the dura is tightly adherent to the foramen magnum separating intracranial dural space from the spinal thecal sac,
epidural abscesses typically do not cross from thecal sac intracranially.
Human skin flora as a potential source of
epidural abscess. Anesthesiology 1996;85:1276-82.
A magnetic resonance imaging study (MRI) of the cervical spine without contrast showed right C4-C5 facet inflammatory arthropathy and a small
epidural abscess with paracervical soft tissue edema and inflammation.
(1) The clinical presentation may also closely resemble to various spinal lesions including acute herniated intervertebral discs,
epidural abscess, spinal subarchnoid hemorrhage, and transverse myelitis.
Mediastinal and paraesophageal abscess is observed frequently, and brain abscess and
epidural abscess have been reported rarely in both children and adults (1).
Coexisting intracranial complications were present in 4 patients (57%), the most common of which were
epidural abscess in 2 patients and otitic hydrocephalus in 2 (table 3).
Although it is regarded as a safe procedure, it can lead to serious complications such as
epidural abscess, meningitis, osteomyelitis, and neurologic injury.