Hidden Threat: Unveiling the Dangers of Cervical Epidural Abscess

Cervical epidural abscess (CEA) is an unusual but severe condition. In most cases, it can be related to infections such as the methicillin-sensitive <i>Staphylococcus aureus</i> at the sites of intravenous cannulae. The current case report describes a patient who developed a right epidural abscess at C₅-C₇, diagnosed following persistent chest pain and fever. He eventually recovered after surgical decompression with intravenous antibiotics. The diagnosis of spinal epidural abscess (SEA) is very challenging because of the nonspecific character of symptoms. Early diagnosis using leukocytosis, elevated erythrocyte sedimentation rate (ESR), and MRI is crucial for preventing irreversible neurological deficits, as this case illustrates the importance of prompt intervention and meticulous follow-up to avoid complications like irreversible neurological deficits and enable spinal stabilization.

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Journal
Cureus
Published
2024-09-20
DOI
https://doi.org/10.7759/cureus.69807
Primary Topic
Infectious Diseases and Tuberculosis
Type
article
Field-Weighted Citation Impact
0.00
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article

Hidden Threat: Unveiling the Dangers of Cervical Epidural Abscess

Swati Baraiya, Hari Chandana Kalangi, Praneeth Ulavala, Sravanthi Narapaneni et al.
Cureus
Infectious Diseases and Tuberculosis
article

Hidden Threat: Unveiling the Dangers of Cervical Epidural Abscess

Swati Baraiya, Hari Chandana Kalangi, Praneeth Ulavala, Sravanthi Narapaneni, Hemalatha Bhoompally
article en

Abstract

Cervical epidural abscess (CEA) is an unusual but severe condition. In most cases, it can be related to infections such as the methicillin-sensitive <i>Staphylococcus aureus</i> at the sites of intravenous cannulae. The current case report describes a patient who developed a right epidural abscess at C₅-C₇, diagnosed following persistent chest pain and fever. He eventually recovered after surgical decompression with intravenous antibiotics. The diagnosis of spinal epidural abscess (SEA) is very challenging because of the nonspecific character of symptoms. Early diagnosis using leukocytosis, elevated erythrocyte sedimentation rate (ESR), and MRI is crucial for preventing irreversible neurological deficits, as this case illustrates the importance of prompt intervention and meticulous follow-up to avoid complications like irreversible neurological deficits and enable spinal stabilization.

CureusVol. 16(9)
Narayana Dental College and Hospital (IN), Kamineni Hospitals (IN), Yashoda Hospital (IN), Bombay Hospital (IN), Narayan Medical College and Hospital (IN)
Gender equality
Openalex Percentile: Top 71%
Infectious Diseases and Tuberculosis
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