SPINAL EPIDURAL ABSCESS ET CAUSA STAPHYLOCOCCUS PSEUDINTERMEDIUS: A RARE CASE REPORT

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Dodik Tugasworo
Happy Kurnia Brotoarianto
Retnaningsih
Aditya Kurnianto
Yovita Andhitara
Rahmi Ardhini
Josep Rio Rambe
Jethro Budiman

Abstract

Background: Spinal epidural abscess (SEA) is a rare disease, difficult to detect, high defect rate, and can be lifethreatening. It is characterized by accumulation of pus in the epidural space causing suppression of the spinal cord and spinal roots. This study will describe a case of a 35-year-old man with SEA in Indonesia.



Case presentation: A 35-year-old male with pain in the lumbar region 1, radicular pain according to thoracic dermatome 10, flaccid inferior paraplegia, hypoesthesia as high as thoracic dermatome 10, and retention of alviet uri due to SEA caused by Staphylococcus pseudintermedius confirmed by abscess culture. Management of this patient was through an operation, debridement, and administration of antibiotic.



Conclusion: This patient was diagnosed with SEA from anamnesis, physical examination, laboratory finding, and radiology finding. This case is rarely found and is a big problem for neurologists due to the difficulty of early diagnosis.

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Research article