KMID : 1100920220430020147
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Korean Journal of Family Medicine 2022 Volume.43 No. 2 p.147 ~ p.149
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A Rare Case of Spinal Epidural Abscess Following Urinary Tract Infection Caused by Escherichia coli in a Patient with Pre-existing Stress Fractures of the Lumbar Spine
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Shin Woo-Ram
Oh Ju-Hwan Cho A-Young Song In-Sup Kim Young-Suk Lee Kwang-Young Sun In-O
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Abstract
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Spinal epidural abscess (SEA) caused by Escherichia coli is an uncommon condition. It usually occurs secondary to urinary tract infection (UTI), following hematogenous propagation. Disruption of spinal anatomic barriers increases susceptibility to SEA. Although rarely, such disruption can take the form of lumbar spine stress fractures, which can result from even innocuous activity. Here, we describe a case of SEA secondary to UTI in a patient with pre-existing stress fractures of the lumbar spine, following use of an automated massage chair. Successful treatment of SEA consisted of surgical debridement and a six-month course of antibiotic therapy.
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KEYWORD
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Pyelonephritis, Abscess, Spine, Escherichia coli, Case Report
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