Tropical pyomyositis of erector spinae complicated with spinal epidural abscess

Highlights • Tropical pyomyositis of erector spinae (ESPM) is a rare infectious disease. • The ESPM may extend into epidural space to become epidural abscess (ESPM-SEA). • Parenteral antibiotics combined image guided drainage is essential for treatment. • Myeloapthy is an indication for emergent ope...

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Bibliographic Details
Published in:Clinical neurology and neurosurgery 2015-01, Vol.128, p.84-89
Main Authors: Zheng, Yun-Cong, Chen, Ching-Chang, Wei, Kuo-Chen, Chen, Jyi-Feng, Lee, Shih-Tseng, Liao, Cheng-Chih
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Alcoholism
Anti-Bacterial Agents - administration & dosage
Antibiotics
Back Muscles - pathology
Chronic illnesses
Disease
Drainage - methods
Epidural Abscess - drug therapy
Epidural Abscess - etiology
Epidural Abscess - surgery
Erector spinae
Female
Hepatitis
Hospitals
Humans
Laminectomy
Laminectomy - methods
Laminotomy
Male
Middle Aged
Mortality
Neurology
Neurosurgery
Pain
Paralysis
Pyomyositis - complications
Pyomyositis - drug therapy
Pyomyositis - surgery
Retrospective Studies
Spinal epidural abscess
Treatment Outcome
Tropical pyomyositis
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Summary:Highlights • Tropical pyomyositis of erector spinae (ESPM) is a rare infectious disease. • The ESPM may extend into epidural space to become epidural abscess (ESPM-SEA). • Parenteral antibiotics combined image guided drainage is essential for treatment. • Myeloapthy is an indication for emergent open drain of ESPM-SEA. • Mini-laminotomy to drain ESPM-SEA can provide good recovery even in long ESPM-SEA.
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2014.10.022