Intramedullary Spinal Cord Abscess With Brain Abscess Secondary to Empyema: A Report of a Rare Case

Intramedullary spinal cord abscess (ISCA) is a rare condition that requires prompt intervention. We report the case of a 60-year-old Japanese man with type 2 diabetes who was diagnosed with ISCA and a concomitant brain abscess during antibiotic treatment for empyema. Antimicrobial therapy alone led to remission and obviated the need for surgery following diagnosis. At the one-year follow-up, the patient showed no sequelae or recurrence. Early diagnosis and appropriate antimicrobial therapy are crucial for improving prognosis and minimizing permanent neurological deficits.