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Year : 2021  |  Volume : 4  |  Issue : 2  |  Page : 260-264

Single-stage decompression of C1–D9 anterior epidural abscess by a gas-producing enteric pathogen

Department of Orthopaedics and Traumatology, Meenakshi Mission Hospital & Research Centre, Madurai, Tamil Nadu, India

Correspondence Address:
M Atharsh Chander
Department of Orthopaedics and Traumatology, Meenakshi Mission Hospital and Research Centre, Madurai 625107, Tamil Nadu.
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ISJ.ISJ_85_20

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Multilevel pyogenic spinal epidural abscess is a rare presentation, and there are only a few documented cases. This is a case report of a cervicothoracic epidural abscess (C1–D9) presenting with sepsis and neurological impairment due to a gas-producing enteric organism that was managed by surgical decompression. The abscess was drained in a single-stage multilevel procedure. The patient recovered gradually in the postoperative period clinically and neurologically and is on follow-up for two years. The peculiarity of this case is the absence of any vertebral or disc involvement in the presence of such an extensive anterior epidural abscess.

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