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

被引：1

作者：

Shin, Wooram ^{[1
]}

Oh, Ju Hwan ^{[2
]}

Cho, A. Young ^{[2
]}

Song, In Sup ^{[3
]}

Kim, Young Suk ^{[4
]}

Lee, Kwang Young ^{[2
]}

Sun, In O. ^{[2
]}

机构：

[1] Presbyterian Med Ctr, Dept Neurosurg, Jeonju, South Korea

[2] Presbyterian Med Ctr, Dept Internal Med, Div Nephrol, Jeonju, South Korea

[3] Presbyterian Med Ctr, Dept Radiol, Jeonju, South Korea

[4] Presbyterian Med Ctr, Dept Lab Med, Jeonju, South Korea

来源：

KOREAN JOURNAL OF FAMILY MEDICINE | 2022年 / 43卷 / 02期

关键词：

Pyelonephritis; Abscess; Spine; Escherichia coli; Case Report;

D O I：

10.4082/kjfm.20.0226

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：147 / 149

页数：3