Cargando…
A Rare Multilevel Spinal Epidural Abscess With Streptococcus agalactiae in an Adult With Uncontrolled Diabetes: A Case Report
Spinal epidural abscess (SEA) is a rare, life-threatening infection that typically presents with fever, back pain, and neurologic deficits. Although most commonly caused by Staphylococcus aureus, this case reviews a rare occurrence of a multilevel SEA caused by Streptococcus agalactiae in a 62-year-...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470477/ https://www.ncbi.nlm.nih.gov/pubmed/37664334 http://dx.doi.org/10.7759/cureus.42802 |
_version_ | 1785099686420414464 |
---|---|
author | Kals, Karanvir S Ramayani, Aakriti Hariharan, Radhika Lee, Thomas T |
author_facet | Kals, Karanvir S Ramayani, Aakriti Hariharan, Radhika Lee, Thomas T |
author_sort | Kals, Karanvir S |
collection | PubMed |
description | Spinal epidural abscess (SEA) is a rare, life-threatening infection that typically presents with fever, back pain, and neurologic deficits. Although most commonly caused by Staphylococcus aureus, this case reviews a rare occurrence of a multilevel SEA caused by Streptococcus agalactiae in a 62-year-old female with uncontrolled type II diabetes mellitus. The patient initially presented with lower back pain and was subsequently diagnosed with a SEA complicated by hyperglycemia. A prompt diagnosis with magnetic resonance imaging (MRI) revealed extensive abscess formation, leading to emergent neurosurgical intervention. Streptococcus agalactiae was identified as the causative organism through culture. The report emphasizes the challenges of early detection of SEA and highlights the importance of considering unusual pathogens in high-risk patients. Timely management is crucial to prevent permanent neurologic deficits and to achieve favorable outcomes. |
format | Online Article Text |
id | pubmed-10470477 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-104704772023-09-01 A Rare Multilevel Spinal Epidural Abscess With Streptococcus agalactiae in an Adult With Uncontrolled Diabetes: A Case Report Kals, Karanvir S Ramayani, Aakriti Hariharan, Radhika Lee, Thomas T Cureus Internal Medicine Spinal epidural abscess (SEA) is a rare, life-threatening infection that typically presents with fever, back pain, and neurologic deficits. Although most commonly caused by Staphylococcus aureus, this case reviews a rare occurrence of a multilevel SEA caused by Streptococcus agalactiae in a 62-year-old female with uncontrolled type II diabetes mellitus. The patient initially presented with lower back pain and was subsequently diagnosed with a SEA complicated by hyperglycemia. A prompt diagnosis with magnetic resonance imaging (MRI) revealed extensive abscess formation, leading to emergent neurosurgical intervention. Streptococcus agalactiae was identified as the causative organism through culture. The report emphasizes the challenges of early detection of SEA and highlights the importance of considering unusual pathogens in high-risk patients. Timely management is crucial to prevent permanent neurologic deficits and to achieve favorable outcomes. Cureus 2023-08-01 /pmc/articles/PMC10470477/ /pubmed/37664334 http://dx.doi.org/10.7759/cureus.42802 Text en Copyright © 2023, Kals et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Kals, Karanvir S Ramayani, Aakriti Hariharan, Radhika Lee, Thomas T A Rare Multilevel Spinal Epidural Abscess With Streptococcus agalactiae in an Adult With Uncontrolled Diabetes: A Case Report |
title | A Rare Multilevel Spinal Epidural Abscess With Streptococcus agalactiae in an Adult With Uncontrolled Diabetes: A Case Report |
title_full | A Rare Multilevel Spinal Epidural Abscess With Streptococcus agalactiae in an Adult With Uncontrolled Diabetes: A Case Report |
title_fullStr | A Rare Multilevel Spinal Epidural Abscess With Streptococcus agalactiae in an Adult With Uncontrolled Diabetes: A Case Report |
title_full_unstemmed | A Rare Multilevel Spinal Epidural Abscess With Streptococcus agalactiae in an Adult With Uncontrolled Diabetes: A Case Report |
title_short | A Rare Multilevel Spinal Epidural Abscess With Streptococcus agalactiae in an Adult With Uncontrolled Diabetes: A Case Report |
title_sort | rare multilevel spinal epidural abscess with streptococcus agalactiae in an adult with uncontrolled diabetes: a case report |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470477/ https://www.ncbi.nlm.nih.gov/pubmed/37664334 http://dx.doi.org/10.7759/cureus.42802 |
work_keys_str_mv | AT kalskaranvirs araremultilevelspinalepiduralabscesswithstreptococcusagalactiaeinanadultwithuncontrolleddiabetesacasereport AT ramayaniaakriti araremultilevelspinalepiduralabscesswithstreptococcusagalactiaeinanadultwithuncontrolleddiabetesacasereport AT hariharanradhika araremultilevelspinalepiduralabscesswithstreptococcusagalactiaeinanadultwithuncontrolleddiabetesacasereport AT leethomast araremultilevelspinalepiduralabscesswithstreptococcusagalactiaeinanadultwithuncontrolleddiabetesacasereport AT kalskaranvirs raremultilevelspinalepiduralabscesswithstreptococcusagalactiaeinanadultwithuncontrolleddiabetesacasereport AT ramayaniaakriti raremultilevelspinalepiduralabscesswithstreptococcusagalactiaeinanadultwithuncontrolleddiabetesacasereport AT hariharanradhika raremultilevelspinalepiduralabscesswithstreptococcusagalactiaeinanadultwithuncontrolleddiabetesacasereport AT leethomast raremultilevelspinalepiduralabscesswithstreptococcusagalactiaeinanadultwithuncontrolleddiabetesacasereport |