Successful percutaneous drainage and ablution of idiopathic epidural abscess

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  • AMEMORI Hiroko
    Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Saga University
  • HIRAKAWA Naomi
    Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Saga University
  • ARAKI Kazukuni
    Intensive Care Unit, Saga University Hospital
  • HIGASHIMOTO Ikuyo
    Surgical Center, Saga University Hospital
  • TOTOKI Tadahide
    Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Saga University

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Other Title
  • 経皮的硬膜外腔排膿・洗浄が有効であった硬膜外膿瘍の1症例
  • ショウレイ ケイヒテキコウマク ガイクウハイノウ センジョウ ガ ユウコウ デ アッタ コウマク ガイ ノウヨウ ノ 1 ショウレイ

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Abstract

We performed percutaneous epidural drainage and ablution for the treatment of an idiopathic epidural abscess.<br>A healthy 17-year-old man consulted our hospital with a chief complaint of severe back pain and fever. Magnetic resonance imaging study showed a thoracic epidural abscess.<br>The patient had no apparent infectious site as the source of the abscess nor immunological deficiency as the background. We performed percutaneous drainage and ablution with an epidural needle and yellowish pus was drained. Staphylococcus aureus was detected as the pathogen. Antibiotic therapy was administered after drainage. The epidural abscess had disappeared on magnetic resonance imaging study performed 10 days after percutaneous drainage.<br>This case may suggest that percutaneous drainage and ablution is indicated for the early phase of epidural abscess without neurological complications.

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