Panspinal Epidural Abscess: A Devastating Complication of Group B Streptococcal Bacteremia

Background. SEAs are infrequent; however, panspinal infections are even rarer, especially when GBS infection is involved. The cornerstone of treatment is based on early diagnosis and use of targeted antimicrobial therapy; in case of cord compression or neurological compromise, urgent surgical interv...

Full description

Saved in:
Bibliographic Details
Main Authors: Rehmat Ullah Awan, Ambreen Nabeel, Mohammed Alsaggaf
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2022/5028335
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832565818807812096
author Rehmat Ullah Awan
Ambreen Nabeel
Mohammed Alsaggaf
author_facet Rehmat Ullah Awan
Ambreen Nabeel
Mohammed Alsaggaf
author_sort Rehmat Ullah Awan
collection DOAJ
description Background. SEAs are infrequent; however, panspinal infections are even rarer, especially when GBS infection is involved. The cornerstone of treatment is based on early diagnosis and use of targeted antimicrobial therapy; in case of cord compression or neurological compromise, urgent surgical intervention should be pursued. Overall, it is an infrequent condition and therefore requires prospective multicenter studies. Case Presentation. We describe a case who presented with diabetic lower extremity wounds; however, soon the patient developed bowel and bladder incontinence in the setting of back pain, secondary to panspinal epidural abscess. The patient’s case is unique in two aspects: firstly, it is panspinal, and secondly, its causative agent is GBS. Conclusion. Prompt diagnosis of SEA is critical in the preservation of neurological function. Anyone presenting with fevers, back pain, and neurological changes should have urgent MRI evaluation of the spine.
format Article
id doaj-art-d7df24a936fd4b3ea3cecb99094f46c0
institution Kabale University
issn 2090-6633
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Case Reports in Infectious Diseases
spelling doaj-art-d7df24a936fd4b3ea3cecb99094f46c02025-02-03T01:06:35ZengWileyCase Reports in Infectious Diseases2090-66332022-01-01202210.1155/2022/5028335Panspinal Epidural Abscess: A Devastating Complication of Group B Streptococcal BacteremiaRehmat Ullah Awan0Ambreen Nabeel1Mohammed Alsaggaf2Ochsner RushOchsner RushOchsner Health SystemBackground. SEAs are infrequent; however, panspinal infections are even rarer, especially when GBS infection is involved. The cornerstone of treatment is based on early diagnosis and use of targeted antimicrobial therapy; in case of cord compression or neurological compromise, urgent surgical intervention should be pursued. Overall, it is an infrequent condition and therefore requires prospective multicenter studies. Case Presentation. We describe a case who presented with diabetic lower extremity wounds; however, soon the patient developed bowel and bladder incontinence in the setting of back pain, secondary to panspinal epidural abscess. The patient’s case is unique in two aspects: firstly, it is panspinal, and secondly, its causative agent is GBS. Conclusion. Prompt diagnosis of SEA is critical in the preservation of neurological function. Anyone presenting with fevers, back pain, and neurological changes should have urgent MRI evaluation of the spine.http://dx.doi.org/10.1155/2022/5028335
spellingShingle Rehmat Ullah Awan
Ambreen Nabeel
Mohammed Alsaggaf
Panspinal Epidural Abscess: A Devastating Complication of Group B Streptococcal Bacteremia
Case Reports in Infectious Diseases
title Panspinal Epidural Abscess: A Devastating Complication of Group B Streptococcal Bacteremia
title_full Panspinal Epidural Abscess: A Devastating Complication of Group B Streptococcal Bacteremia
title_fullStr Panspinal Epidural Abscess: A Devastating Complication of Group B Streptococcal Bacteremia
title_full_unstemmed Panspinal Epidural Abscess: A Devastating Complication of Group B Streptococcal Bacteremia
title_short Panspinal Epidural Abscess: A Devastating Complication of Group B Streptococcal Bacteremia
title_sort panspinal epidural abscess a devastating complication of group b streptococcal bacteremia
url http://dx.doi.org/10.1155/2022/5028335
work_keys_str_mv AT rehmatullahawan panspinalepiduralabscessadevastatingcomplicationofgroupbstreptococcalbacteremia
AT ambreennabeel panspinalepiduralabscessadevastatingcomplicationofgroupbstreptococcalbacteremia
AT mohammedalsaggaf panspinalepiduralabscessadevastatingcomplicationofgroupbstreptococcalbacteremia