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

Received 2020-10-12; Accepted 2021-07-15; Published 2021-10-06

Authors

  • Dodik Tugasworo Department of Neurology, Dr. KariadiHospital / Faculty of Medicine, Diponegoro University, Semarang, Indonesia.
  • Happy Kurnia Brotoarianto Department of Neurosurgery, Dr. Kariadi Hospital/Faculty of Medicine, Diponegoro University, Semarang, Indonesia.
  • Retnaningsih Department of Neurology, Dr. Kariadi Hospital/Faculty of Medicine, Diponegoro University, Semarang, Indonesia.
  • Aditya Kurnianto Department of Neurology, Dr. Kariadi Hospital/Faculty of Medicine, Diponegoro University, Semarang, Indonesia.
  • Yovita Andhitara Department of Neurology, Dr. Kariadi Hospital/Faculty of Medicine Diponegoro University, Semarang, Indonesia.
  • Rahmi Ardhini Department of Neurology, Dr. Kariadi Hospital/Faculty of Medicine, Diponegoro University, Semarang, Indonesia.
  • Josep Rio Rambe Department of Neurology, Dr. Kariadi Hospital/Faculty of Medicine, Diponegoro University, Semarang, Indonesia.
  • Jethro Budiman Department of Neurology, Dr. Kariadi Hospital/Faculty of Medicine Diponegoro University, Semarang, Indonesia.

DOI:

https://doi.org/10.22452/jummec.vol24no2.12

Keywords:

radiating pain, spinal epidural abscess, Staphylococcus pseudintermedius

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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Published

2021-10-06

Issue

Vol. 24 No. 2 (2021)

Section

Research article

License

COPYRIGHT. All rights reserved. No part of this journal may be reproduced, copied or transmitted, in any form or by any means, electronic, mechanical, photocopying, and recording or otherwise without proper written permission from the publisher. Any opinion expressed in the articles are those of the authors and do not reflect that of the University of Malaya, 50603 Kuala Lumpur, Malaysia

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