Spinal Epidural Abscess Complicated by Meningitis, Sepsis and Thrombocytopenia in a Patient Lacking Traditional Risk Factors

Authors

Christian Spano, Touro College of Osteopathic Medicine (Middletown)Follow
Michael Ward, Touro College of Osteopathic Medicine (Middletown)Follow
Nicole Zagelbaum, Touro College of Osteopathic Medicine (Middletown)Follow

Document Type

Article

Publication Date

2017

Abstract

Spinal epidural abscess is a rare diagnosis with a classic triad of fever, spinal pain and neurologic deficits. Only a small proportion of patients have all three findings, making the diagnosis challenging. Here we present a case of cervical and thoracic spinal epidural abscess complicated by meningitis, sepsis and thrombocytopenia in a patient lacking traditional risk factors. The patient was initially treated non-operatively secondary to thrombocytopenia but subsequently required transfer to a tertiary care facility for surgical drainage after clinical deterioration. This case report highlights the need for a high index of suspicion and low threshold for imaging when considering this rare but potentially deadly condition.

Recommended Citation

Spano, C., Ward, M., & Zagelbaum, N. (2017). Spinal epidural abscess complicated by meningitis, sepsis and thrombocytopenia in a patient lacking traditional risk factors. Clinical Practice and Cases in Emergency Medicine, 1(2).

Publisher's Statement

Originally published in Clinical Practice and Cases in Emergency Medicine, 1(2). Licensed under CC BY 4.0. https://doi.org/10.5811/cpcem.2016.12.33001