Original Article

EXTENSIVE PRIMARY PYOGENIC EPIDURAL ABSCESS LOCATED IN CERVICOTHORACIC REGION IN A DIABETIC PATIENT

  • Selin Tural EMON
  • Metin ORAKDÖĞEN
  • Barış ERDOĞAN
  • Hakan SOMAY
  • Cezmi Çağrı TÜRK

Received Date: 14.03.2016 Accepted Date: 22.05.2016 J Turk Spinal Surg 2016;27(4):249-252

Spinal epidural abscesses are rare infections. Incidence of epidural abscesses is 0.2-2 /10000. Often they are detected mid-thoracic and lower lumbar area. Risk factors of spinal cord abscess are drug abuse, HIV/AIDS, diabetes, immunosuppression.

A 46-year-old male patient admitted to emergency suddenly developed weakness of his extremities and respiratory distress. The patient was intubated immediately and he was taken to intensive care unit. Cranial and spinal magnetic resonance imaging was showed C1 to T8 epidural abscess. Surgery was performed and anti-biotherapy was given.

We keep our mind that spinal epidural abscess cause such as the severe neurological condition in diabetic patients. We may achieve good outcomes with immediate surgical treatment and appropriate anti-biotherapy.

Keywords: Diabetes mellitus, spinal epidural abscess, tetraparesis.