Pressure Ulcer Associated with Testicular Prosthesis as a Rare Cause of Spinal Epidural Abscess
Spinal epidural abscess is a neurologic emergency with a potential complication to the spinal cord such as paralysis. Frequently, it has a nonspecific initial presentation such as neck or back pain, and hence there is a delay in diagnosis. We present the case of a 60-year-old Caucasian male who pres...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2019/9090462 |
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| author | Amulya Prakash Rishi Raj Aasems Jacob Douglas Ross |
| author_facet | Amulya Prakash Rishi Raj Aasems Jacob Douglas Ross |
| author_sort | Amulya Prakash |
| collection | DOAJ |
| description | Spinal epidural abscess is a neurologic emergency with a potential complication to the spinal cord such as paralysis. Frequently, it has a nonspecific initial presentation such as neck or back pain, and hence there is a delay in diagnosis. We present the case of a 60-year-old Caucasian male who presented to emergency room with one week of numbness and weakness of all four extremities. Neurological examination showed variable quadriparesis. Urgent MRI of spine with contrast revealed epidural abscess in the cervical region C4–C6 with resultant cord compression, the underlying etiology for hematogenous spread of infection being pressure ulcer associated with testicular prosthesis. Urgent neurosurgical intervention was done to achieve spinal cord decompression. Both blood and pus cultures were positive for Streptococcus intermedius, requiring prolonged administration of intravenous antibiotics. Clinical outcome was encouraging with progressive gain in motor and sensory function. Spinal epidural abscess is a rare diagnosis; hence, clinicians should have a high index of suspicion for timely diagnosis. |
| format | Article |
| id | doaj-art-457dca5d782e47608dc24769a1ddf849 |
| institution | OA Journals |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-457dca5d782e47608dc24769a1ddf8492025-08-20T02:37:52ZengWileyCase Reports in Infectious Diseases2090-66252090-66332019-01-01201910.1155/2019/90904629090462Pressure Ulcer Associated with Testicular Prosthesis as a Rare Cause of Spinal Epidural AbscessAmulya Prakash0Rishi Raj1Aasems Jacob2Douglas Ross3Monmouth Medical Center, Long Branch, NJ, USAUniversity of Kentucky, Lexington, KY, USAUniversity of Kentucky, Lexington, KY, USAMonmouth Medical Center, Long Branch, NJ, USASpinal epidural abscess is a neurologic emergency with a potential complication to the spinal cord such as paralysis. Frequently, it has a nonspecific initial presentation such as neck or back pain, and hence there is a delay in diagnosis. We present the case of a 60-year-old Caucasian male who presented to emergency room with one week of numbness and weakness of all four extremities. Neurological examination showed variable quadriparesis. Urgent MRI of spine with contrast revealed epidural abscess in the cervical region C4–C6 with resultant cord compression, the underlying etiology for hematogenous spread of infection being pressure ulcer associated with testicular prosthesis. Urgent neurosurgical intervention was done to achieve spinal cord decompression. Both blood and pus cultures were positive for Streptococcus intermedius, requiring prolonged administration of intravenous antibiotics. Clinical outcome was encouraging with progressive gain in motor and sensory function. Spinal epidural abscess is a rare diagnosis; hence, clinicians should have a high index of suspicion for timely diagnosis.http://dx.doi.org/10.1155/2019/9090462 |
| spellingShingle | Amulya Prakash Rishi Raj Aasems Jacob Douglas Ross Pressure Ulcer Associated with Testicular Prosthesis as a Rare Cause of Spinal Epidural Abscess Case Reports in Infectious Diseases |
| title | Pressure Ulcer Associated with Testicular Prosthesis as a Rare Cause of Spinal Epidural Abscess |
| title_full | Pressure Ulcer Associated with Testicular Prosthesis as a Rare Cause of Spinal Epidural Abscess |
| title_fullStr | Pressure Ulcer Associated with Testicular Prosthesis as a Rare Cause of Spinal Epidural Abscess |
| title_full_unstemmed | Pressure Ulcer Associated with Testicular Prosthesis as a Rare Cause of Spinal Epidural Abscess |
| title_short | Pressure Ulcer Associated with Testicular Prosthesis as a Rare Cause of Spinal Epidural Abscess |
| title_sort | pressure ulcer associated with testicular prosthesis as a rare cause of spinal epidural abscess |
| url | http://dx.doi.org/10.1155/2019/9090462 |
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