Revista chilena de radiología
versión On-line ISSN 0717-9308
SAJAMA L, Carlos et al. Lumbar epidural abscess secondary to traumatic disk herniation: A case report. Rev. chil. radiol. [online]. 2009, vol.15, n.1, pp.46-50. ISSN 0717-9308. http://dx.doi.org/10.4067/S0717-93082009000100007.
We report the case of a 42-year-old male patient presenting with trauma history and lumbar spine axial compression which caused a herniated nucleus pulposus at lumbar level, revealed through MRI. After a four-day evolution period, fever and laboratory alterations indicative otan infectious process appear without signs of neurologic involvement. Hemoculture was positive for Staphylococcus aureus and MRI showed the presence of a lumbar spinal abscess secondary to infected epidural hematoma. The patient was treated with antibiotics, being given ceftriaxone, metronidazol, and gentamicin as an initial theraphy switched subsecuently to cloxaciline and cefazoline, He showed a favourable evolution, completing a six-week period of endovenous treatment plus fourweeks receiving oral therapy The patient was discharged in good condition with no neurologic deficit.
Palabras clave : Antibiotic treatment; Magnetic resonance imaging; Spinal epidural abscess; Traumatic herniated disc disease.