3,660 results match your criteria: "Epidural Abscess"
N Am Spine Soc J
December 2024
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, United States.
BMC Infect Dis
December 2024
Department of Orthopedics, Leshan People's Hospital, No. 238 Baita Street, Shizhong District, Leshan, Sichuan Province, China.
Background: Fungal spondylitis often occurs in patients with immune dysfunction, and its diagnosis and treatment pose certain challenges. However, even in immunocompromised patients, Aspergillus spondylitis remains rare. This case reports the diagnostic and therapeutic experience of fungal spondylitis in a patient with consolidated cirrhosis and no significant immune impairment.
View Article and Find Full Text PDFN Am Spine Soc J
December 2024
Department of Neurosurgery, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.
Indian J Microbiol
December 2024
Spine Surgery, Apollo Multispecialty Hospital, Kolkata, India.
Melioidosis rarely presents with spinal involvement, which may lead to neurological complications. It's endemic to Thailand and Australia, but rare in India. Patients with diabetes, immunocompromised states, and chronic renal failure are at high risk of developing melioidosis, which can present with localized or disseminated abscess collection.
View Article and Find Full Text PDFCureus
November 2024
Medicine, Plainview Hospital, Plainview, USA.
This case presents a 12-year-old male patient diagnosed with preseptal cellulitis that progressed to a subperiosteal orbital abscess and eventually intracranial extension, despite outpatient antibiotic therapy. Initially treated with oral antibiotics for left eyelid swelling and pain, his condition worsened, prompting hospital admission and eventual surgical intervention. Imaging revealed multiple abscesses and a hematoma, causing mass effect on the globe and extraocular muscles.
View Article and Find Full Text PDFCan J Surg
December 2024
From the Cumming School of Medicine, University of Calgary, Calgary, Alta. (Krzyzaniak, Vergouwen, Van Essen, Nixon); the Department of Surgery, Section of Vascular Surgery, University of Calgary, Calgary, Alta. (Krzyzaniak, Moore, Rommens); the Department of Cardiac Sciences, Section of Cardiac Surgery, University of Calgary, Calgary, Alta. (McClure); the Calgary Aortic Program, Calgary, Alta. (McClure, Moore, Rommens); the Department of Anesthesiology, Perioperative and Pain Medicine, University of Calgary, Calgary, Alta. (Nixon, Jadavji).
Spine J
December 2024
Department of Neurosurgery, University Medical Center Mainz, Mainz, Germany.
Background Context: Spondylodiscitis management presents significant clinical challenges, particularly in critically ill patients, where the risks and benefits of surgical intervention must be carefully balanced. The optimal timing of surgery in this context remains a subject of debate.
Purpose: This study aims to evaluate the effectiveness of early surgery versus delayed surgery or conservative management in critically ill patients with de novo pyogenic spondylodiscitis.
Objective: Spinal epidural abscesses (SEAs) are rare infections in children but can lead to significant neurological sequelae. The authors sought to describe the presentation, management, and outcomes of children with these infections at their institution.
Methods: This was a retrospective study of pediatric patients admitted with SEA to a quaternary children's hospital between 2013 and 2023.
Radiol Case Rep
February 2025
Department of Radiology, L. Curto Hospital, ASL Salerno, Via Luigi Curto, 84035, Polla, Salerno, Italy.
Sinusitis is a common condition that can lead to various neurological complications due to the spread of infection to the intracranial and orbital regions. Fortunately, the availability of antibiotics has significantly improved the prognosis of sinusitis-associated intracranial complications. As a result, the overall incidence of neurological complications arising from sinusitis remains low.
View Article and Find Full Text PDFJ Neurosurg Spine
December 2024
1Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, New York.
Objective: The escalating incidence of de novo spinal infections poses a substantial neurological impact on patients. This has prompted a growing interest in discerning which patients would derive greater benefit from medical as opposed to surgical management of these occurrences. The authors assessed the predictive applicability of the Spinal Infection Treatment Evaluation (SITE) score in discerning between surgical intervention and medical management.
View Article and Find Full Text PDFCureus
November 2024
Internal Medicine, University of Michigan, Ann Arbor, USA.
Coronavirus disease 2019 (COVID-19) has been associated with numerous complications beyond the respiratory tract, including spinal and joint co-infections and secondary infections. However, we could not locate any reported cases of bilateral shoulder infections with additional spinal infections associated with mild (like our patient) COVID-19 or with more severe cases of COVID-19. We report the case of a healthy 62-year-old male who presented with mild COVID-19 and concurrent methicillin-sensitive (MSSA) bacteremia associated with multiple musculoskeletal sites of deep-seated infection.
View Article and Find Full Text PDFInt J Pediatr Otorhinolaryngol
December 2024
The Hospital for Sick Children, Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada, M5G 1X8. Electronic address:
Case Rep Infect Dis
November 2024
Department of Radiodiagnosis, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, India.
Staphylococcal infection is a common bacterial disease with common clinical features. Untreated infection, especially in immunosenescence cases, can affect other organs. This can lead to multiorgan dysfunction and cause increased morbidity and mortality.
View Article and Find Full Text PDFSaudi J Anaesth
October 2024
S.C. Anestesia, Rianimazione e Terapia Intensiva, ASST Nord Milano, Ospedale Bassini, 20097, Milan, Italy.
Cervical septic arthritis can lead to complications such as epidural abscess, which may result in respiratory failure. We present a case of a 78-year-old male with cervical septic arthritis complicated by epidural abscess, leading to severe diaphragm dysfunction. Ultrasound evaluation revealed dysfunction of the left hemidiaphragm and compensatory activation of accessory respiratory muscles.
View Article and Find Full Text PDFSaudi J Anaesth
October 2024
Department of Anesthesiology, Anjo Kosei Hospital, 28-Higashihirokute, Anjo-Cho, Anjo-City, Aichi, Japan.
To avoid inhalational anesthetics, total intravenous anesthesia (TIVA) is required in patients with a predisposition to malignant hyperthermia (MH). However, propofol, which is frequently used, may be avoided in patients with egg allergies because of the contraindications in the drug information. Furthermore, some patients may not consent to the use of propofol.
View Article and Find Full Text PDFBiomedicines
November 2024
Department of Radiology, National Institute for Infectious Disease "Lazzaro Spallanzani", 00149 Rome, Italy.
Spondylodiscitis is an infection of the intervertebral disc, the adjacent vertebral body, and/or contiguous structures due to the introduction of infectious agent, usually by the hematogenous route. Imaging is crucial in assessing bacterial and tubercular spondylodiscitis, as well as their associated complications. Magnetic resonance imaging in particular can clearly depict osteo-structural changes in the vertebral body and the associated disc, as well as any soft-tissue complications, such as paravertebral abscess and/or epidural abscess, improving disease characterization and helping to recognize the agent involved.
View Article and Find Full Text PDFEur J Clin Microbiol Infect Dis
November 2024
Department of Orthopedic Surgery, China-Japan Union Hospital, Jilin University, Jilin, 130033, China.
BMC Infect Dis
November 2024
Infectious Diseases Section, Hospital de Galdakao-Usánsolo, Galdakao, Vizcaya, Spain.
Background: Postoperative intracranial neurosurgical infections (PINI) complicate < 5% neurosurgeries. Scarce attention was dedicated to the extension and characteristics of its antimicrobial management considering their high morbidity, not negligible mortality, delayed hospital stay and increased healthcare costs.
Methods: We analyzed retrospectively (2014-2023) 162 PINI from eight Spanish third-level academic hospitals.
Cureus
October 2024
Internal Medicine, HCA Florida Northwest Hospital, Margate, USA.
This is a case of a spinal epidural abscess (SEA) in a 41-year-old male with a history of chronic alcohol abuse, who initially presented with severe diabetic ketoacidosis (DKA). Following stabilization of DKA, the patient developed persistent gram-positive bacteremia, which progressed to an epidural abscess extending from the cervical to the thoracic spine with potential intracranial extension. Despite the complexity of the case, prompt diagnosis via magnetic resonance imaging (MRI) and timely neurosurgical intervention for drainage, combined with targeted antibiotic therapy, led to a favorable outcome.
View Article and Find Full Text PDFGlobal Spine J
November 2024
Department of Orthopaedic Surgery, Waikato Hospital, Hamilton, New Zealand.
Study Design: Retrospective comparative cohort.
Objective: (1) Describe the prevalence of the basivertebral vessel (BVV) in a cohort of spinal epidural abscesses (SEA) at lumbar or thoracic (2) correlate the presence of BVV to the risk of conservative treatment failure (CTF).
Methods: Twenty-six patients successfully managed without surgery were compared to 26 who required surgical management due to failed conservative management (lumbar and thoracic).
Ann Med Surg (Lond)
November 2024
Department of Neurosurgery, UHC Habib Bourguiba, Sfax, Tunisia.
Surg Neurol Int
October 2024
Department of Neurological Surgery, Childrens Hospital of Orange County, Orange, California, United States.
J Infect Chemother
November 2024
Infectious Diseases Experts Training Center, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki City, Nagasaki, Japan. Electronic address:
Anesth Pain Med (Seoul)
October 2024
Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
J Clin Neurosci
December 2024
Department of Surgery, University of Auckland, New Zealand; Department of Orthopaedic Surgery, Waikato Hospital, Hamilton, New Zealand.