Recently, Fox-Lewis et al. published a case report showing the successful management of Neisseria gonorrhoeae cervical spine epidural abscess (SEA) with spinal decompression and instrumented fusion [
]. The authors have mentioned the importance of immediate surgical debridement and decompression in patients with SEA. However, medical therapy with effective antibiotics for early SEA has been recommended in the past decade [
- Fox-Lewis A.
- Luan K.
- Hopkins C.
Neisseria gonorrhoeae cervical spine epidural abscess requiring spinal decompression and instrumented fusion.
J Infect Chemother. 2023; https://doi.org/10.1016/j.jiac.2023.01.021
]. We would like to share our experience regarding a rare case of early SEA presenting as sharp flank pain who was correctly diagnosed and treated successfully with medical approach.
- Arko Lt
- Quach E.
- Nguyen V.
- Chang D.
- Sukul V.
- Kim B.S.
Medical and surgical management of spinal epidural abscess: a systematic review.
Neurosurg Focus. 2014; 37: E4https://doi.org/10.3171/2014.6.Focus14127
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- Neisseria gonorrhoeae cervical spine epidural abscess requiring spinal decompression and instrumented fusion.J Infect Chemother. 2023; https://doi.org/10.1016/j.jiac.2023.01.021
- Medical and surgical management of spinal epidural abscess: a systematic review.Neurosurg Focus. 2014; 37: E4https://doi.org/10.3171/2014.6.Focus14127
- The clinical presentation and impact of diagnostic delays on emergency department patients with spinal epidural abscess.J Emerg Med. 2004; 26: 285-291https://doi.org/10.1016/j.jemermed.2003.11.013
- Imaging characteristics and CT sensitivity for pyogenic spinal infections.Am J Emerg Med. 2022; 58: 148-153https://doi.org/10.1016/j.ajem.2022.05.050
- A case of atypical presentation of thoracic osteomyelitis & paraspinal abscess.Mcgill J Med. 2008; 11: 164-167
- A case report of thoracic spondylodiscitis caused by Staphylococcus aureus with spinal epidural abscess and paraspinal abscess: surgical management or medical treatment alone?.J Intern Med Taiwan. 2015; 26: 303-308
- Prospective evaluation of a clinical decision guideline to diagnose spinal epidural abscess in patients who present to the emergency department with spine pain.J Neurosurg Spine. 2011; 14: 765-770https://doi.org/10.3171/2011.1.Spine1091
- Serum procalcitonin measurement is not a useful biomarker in the detection of primary infectious spondylodiscitis.Joint Bone Spine. 2016; https://doi.org/10.1016/j.jbspin.2016.07.012
Published online: May 24, 2023
Accepted: May 15, 2023
Received in revised form: April 26, 2023
Received: February 25, 2023
Publication stageIn Press Corrected Proof
© 2023 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.