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KMID : 0882420160910030330
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Korean Journal of Medicine
2016 Volume.91 No. 3 p.330 ~ p.333
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Development of Spinal Epidural Abscess during Treatment of Pneumococcal Meningitis
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So Seol
Yi Sang-Young
Park Han-Bit
Cho Yoon-Kyung
Jung Ji-Won
Kim Sung-Han
Lee Sang-Ahm
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Abstract
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There have been a few reports of pneumococcal meningitis complicated by spinal epidural abscess. A 58-year-old female with Streptococcus pneumoniae meningitis underwent a recurrent pleocytosis without apparent clinical deterioration after appropriate antibiotic treatment. Subsequently, she developed a spinal epidural abscess. Spinal epidural abscess is a rare complication of pneumococcal meningitis, and subclinical deterioration of neutrophil-dominant pleocytosis may precede development of a spinal epidural abscess in individuals with bacterial meningitis.
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KEYWORD
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Meningitis, Pneumococcal, Epidural abscess, Pleocytosis
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