Spinal Epidural Abscess Caused by Campylobacter jejuni Without Gastrointestinal Symptoms

<i>Campylobacter jejuni</i> (<i>C. jejuni</i>) is a gram-negative bacterium known to cause gastroenteritis with fever, abdominal pain, and bloody diarrhea. Although <i>Campylobacter</i> bacteremia is reported in patients with gastroenteritis, localized abscess formation, particularly spinal epidural abscess (SEA), is extremely rare and can easily be missed. Herein, we report a case of a 54-year-old immunocompromised female presenting with severe back pain without gastrointestinal symptoms, who was ultimately diagnosed with an L5/S1 SEA due to <i>C.jejuni</i>, requiring laminectomy and drainage. As far as we know, this is the second reported case of SEA due to <i>C. jejuni</i> without any preceding gastrointestinal symptoms. This case highlights the critical importance of performing a contrasted MRI for the early and accurate diagnosis of SEA.