Epidural Abscess following Sepsis from Infectious Enteritis in an Adult

A case of epidural abscess after sepsis caused by infectious enteritis in a 74-year-old woman is reported. Her first symptoms were watery diarrhea and high fever. Two days later, she developed sepsis, DIC, and complained intolerable low-back pain. With antibiotics administration and intensive care,...

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Bibliographic Details
Published in:Nihon Kyukyu Igakukai Zasshi 1999/11/15, Vol.10(11), pp.677-682
Main Authors: Yamamichi, Nobutake, Koba, Yuji, Ohashi, Masaki, Seki, Kaoruko, Oyama, Naoya, Inaba, Akira, Kasai, Takeshi
Format: Article
Language:English
Subjects:
epidural abscess
gallium scintigram
infectious enteritis
magnetic resonance image (MRI)
sepsis
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Summary:A case of epidural abscess after sepsis caused by infectious enteritis in a 74-year-old woman is reported. Her first symptoms were watery diarrhea and high fever. Two days later, she developed sepsis, DIC, and complained intolerable low-back pain. With antibiotics administration and intensive care, she recovered from sepsis and DIC in a few days. However, she had a daily spiked fever of 39°C, continuous elevation of C-reactive protein (CRP), and severe low-back pain for more than 4 weeks. Gallium scintigram and MRI revealed an epidural abscess in the lumbar region. The abscess was thought to be due to hematogeneous infection during sepsis, because closed inflammatory lesions were not defined. After treatment with antibiotics and total bed rest for 8 weeks, and rehabilitation for 4 weeks, she recovered completely without neurological disorder.
ISSN:0915-924X
1883-3772
DOI:10.3893/jjaam.10.677