Citrobocter kasori spinal epidural abscess: a rare occurrence.

Ashok Kumar, Pramod Jain, Pritish Singh, Rupam Divthane, C M Badole

Department of Orthopaedics and Traumatology, Mahatma Gandhi Institute of Medical Sciences, Sewagram 442102, India.

Journal of the Indian Medical Association 2013 Jan

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Pyogenic spinal epidural abscess Is an uncommon Infectious occurrence. Clinical prospects of pyogenic spinal epidural abscess are graver if not promptly diagnosed and treated appropriately. A case of spinal epidural abscess has been presented with sinus tract formation at L4-L5 level, of pyogenic aetiology that progressed to paraplegia over the course of the disease. MRI pointed towards an epidural abscess extending from T12 vertebral level to S1 vertebral level. Surgical decompression in the form of laminectomy and evacuation of pus was done and antibiotics were given according to culture and sensitivity. Histopathological analysis revealed the acute suppurative nature of the abscess. Citrobacter kasori was isolated on pus culture. Pyogenic epidural abscess with causative organism being Citrobacter kasori has least been documented.

Citation

Ashok Kumar, Pramod Jain, Pritish Singh, Rupam Divthane, C M Badole. Citrobocter kasori spinal epidural abscess: a rare occurrence. Journal of the Indian Medical Association. 2013 Jan;111(1):67-8