21. THE MERCK MANUAL, Sec. 14, Ch. 182, Spinal Cord Disorders An article about spinal cord compression, its diagnosis and treatment.Category Health Conditions and Diseases Spinal Cord Compression...... Subdural Or epidural abscess And Hematoma. Syrinx. 177), a subdural or epidural abscessor hematoma (see below), or a cervical (or rarely thoracic) disk rupture. http://www.merck.com/pubs/mmanual/section14/chapter182/182b.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 14. Neurologic Disorders Chapter 182. Spinal Cord Disorders Topics [General] Spinal Cord Compression Subdural Or Epidural Abscess And Hematoma Syrinx ... Spinal Cord Injury Spinal Cord Compression Many diseases affect the spinal cord by mechanical compression, which often presents stereotypically and can be treated effectively if detected early. Acute compression is usually traumatic, producing signs of segmental damage at the level of compression usually combined with corticospinal tract dysfunction (eg, hyperreflexia, Babinski's sign, weakness) and sensory deficits below the level of compression (see Spinal Cord Injury, below). Subacute compression is usually caused by an extramedullary neoplasm (see Spinal Cord Neoplasms in Ch. 177), a subdural or epidural abscess or hematoma (see below ), or a cervical (or rarely thoracic) disk rupture. Patients present with local spinal pain, often with a radicular distribution, and reflex changes due to corticospinal tract dysfunction. Weakness (often proximal) of the legs, sensory loss, and, finally, loss of sphincter control follow. Segmental motor or sensory loss in the arms is common with cervical lesions. Pain and mild weakness may last hours to days, but the transition to total loss of function caudal to the lesion may take only minutes or less if vascular compromise to or transection of the cord develops. Chronic compression may be caused by bony or cartilaginous protrusions into the cervical, thoracic, or lumbar spinal canal (eg, from osteophytes or spondylosis, especially in patients with a congenitally narrow spinal canalsee

22. Pictures Of Epidural Abscess Complicating Frontal Sinusitis * Otolaryngology Hou epidural abscess, A complication of frontal sinusitis. CT scan shows pusin frontal sinus and epidural abscess. Trephination sinus. http://www.ghorayeb.com/FrontalEpiduralAbscess.html

Back to Pictures Anatomy of the Sinuses Intracranial Complications Pott's Puffy Tumor ... Home Otolaryngolgy Houston WWW.GHORAYEB.COM Epidural Abscess, A Complication of Frontal Sinusitis This page was last updated on: November 2, 2002 Back to Pictures Anatomy of the Sinuses Intracranial Complications Pott's Puffy Tumor ... Home Axial CT scan shows an epidural abscess secondary to acute frontal sinusitis, The CT frome to the right shows complete opacification of thefrontal sinus and erosion of the septum separating the right and left frontal sinuses. Bilateral frontal sinus trephination was performed and the sinus was drained and irrigated through the red rubber tubes left in the sinus cavity.

23. Pott's Puffy Tumor. Complication Of Frontal Sinusitis. Otolaryngology Houston Intracranial complications such as epidural abscess, subdural empyema, meningitis,cerebral abscess, and duralvein thrombophlebitis may also occur. http://www.ghorayeb.com/PottsPuffyTumor.html

Named after Sir Percival Pott (1713-1788), an English surgeon who first described it in 1760, Pott's puffy tumor is a serious complication of bacterial frontal sinusitis. It consists of a subperiosteal abscess and osteomyelitis of the frontal bone. Patients present with a tender doughy soft tissue swelling that causes pitting edema over the frontal bone. Intracranial complications such as epidural abscess, subdural empyema, meningitis , cerebral abscess, and dural-vein thrombophlebitis may also occur. Treatment consists of surgical drainage of the abscess and the frontal sinus and 6 weeks of intravenous antibiotic therapy directed at the isolated organisms. Trephination is carried out in the floor of the sinus. A drain placed through the trephine allows the drainage of sinus contents and can be used to irrigate with antibiotic solutions. Pictures Meningitis from Frontal Sinusitis Epidural Abscess from Frontal Sinusitis Septoplasty ... Home Otolaryngolgy Houston WWW.GHORAYEB.COM Pott's Puffy Tumor This page was last updated on: November 2, 2002

24. PYOGENIC SPINAL EPIDURAL ABSCESS PYOGENIC SPINAL epidural abscess. Over the last 10 years, four cases of spinal epiduralabscess have been admitted and treated at King Fahd University Hospital. http://www.kfshrc.edu.sa/annals/193/97-307R.html

PYOGENIC SPINAL EPIDURAL ABSCESS Abdullah Al-Othman, MD ; Ahmed Ammar, MD Mohammed Moussa, MD ; Fikry El Morsy, MD Over the last 10 years, four cases of spinal epidural abscess have been admitted and treated at King Fahd University Hospital. Three of these patients were surgically treated, while one was treated conservatively. Acid-fast bacilli (AFB) were not detected in any of the cases. All four patients were put on antibiotics for periods of 4-8 weeks and showed remarkable recovery. Case 1 No AFB were detected by direct smear and culture. Klebsiella spp. was isolated and the patient was treated with piperacillin, meropenem and cefamandole for five weeks. The patient showed immediate improvement postoperatively, and had another operation for thoracotomy and removal of the chest abscess a week after the first surgery. He improved markedly and was discharged, walking normally after four weeks. Case 2 From the Departments of Orthopedic Surgery (Drs. Al-Othman and Moussa), Neurosurgery (Dr. Ammar), and Microbiology (Dr. El Morsy), King Faisal University and King Fahd University Hospital, Al-Khobar, Saudi Arabia. our hospital complaining of severe lumbar pain. He had no neurological deficit, had normal motor power and normal control of the sphincters. He was highly febrile, with a temperature of 39ºC. Lumbar x-rays and CT scan showed a small epidural abscess at the level of L1-L2, extending from the thoracic cavity. No evidence of osteomyelitis was detected. The patient was treated conservatively with antibiotics (gentamycin and ceftriaxone) and painkillers (voltaren) for six weeks. He showed marked improvement and was discharged home after eight weeks.

25. Health Ency.: Disease: Epidural Abscess epidural abscess. epidural abscess is a rare disorder. Nine out often cases are located in the spine (spinal epidural abscess). http://www.accessatlanta.com/shared/health/adam/ency/article/001416.html

SEARCH: The Web Yellow Pages HOME AJC.COM Illustrated Health Encyclopedia Important notice Ency. home Disease E Epidural abscess Overview Symptoms Treatment Prevention Alternative names: Abscess - epidural Definition: An inflammation including a collection of infected material (pus) between the dura (the outer membrane covering of the brain and spinal cord), and the bones of the skull or spine. Causes and Risks Epidural abscess is caused by infection in the area between the bones of the skull or spine, and the outer meninges (the membranes covering the brain and spinal cord). This infection is classified as intracranial epidural abscess if it is located in the skull area, or as a spinal epidural abscess if it is found in the spine area. The infection is usually caused by bacteria ( staphylococcus is common), but some may be caused by fungus. Infected material (pus) frequently includes destroyed tissue cells, white blood cells, and live or dead microorganisms which may wall off into an abscess. There is often inflammation of the tissues around the abscess in response to the infection.

26. Health Ency.: Disease: Epidural Abscess epidural abscess. Spinal epidural abscess Fever and back pain (the back pain maybe confined to the spine or may radiate to the extremities, the arms or legs); http://www.accessatlanta.com/shared/health/adam/ency/article/001416sym.html

SEARCH: The Web Yellow Pages HOME AJC.COM Illustrated Health Encyclopedia Important notice Ency. home Disease E Epidural abscess Overview Symptoms Treatment Prevention Alternative names: Abscess - epidural Symptoms Spinal epidural abscess: Fever and back pain (the back pain may be confined to the spine or may radiate to the extremities, the arms or legs) Bowel or bladder incontinence Difficulty urinating (urinary retention) Intracranial epidural abscess: Headache , fever, lethargy, (if associated with sinusitis or chronic ear infections, there may be localized pain in those areas) Progressive pain at the site of recent surgery (neurosurgery) especially if accompanied by fever Neurological symptoms depending on the location of the abscess which can be varied and include: Weakness or decreased movement of any area of the body A decrease in sensation of any area of the body Signs and Tests Persistent back pain with fever or headache with fever should lead to medical evaluation including a neurological exam to look for focal neurological deficits (loss of neurologic functions such as movement or sensation). Tests such as CT (cat scan) or MRI are frequently needed to confirm the presence of epidural abcess.

27. CCHS Clinical Digital Library epidural abscess Clinical Resources. Miscellaneous epidural abscess Clinical ResourcesHealth Reviews for Primary Care Providers on the Internet Homepage http://cchs-dl.slis.ua.edu/clinical/infectious/bybodysystem/cns/epiduralabscess.

Clinical Resources by Topic: Infectious Diseases Epidural Abscess Clinical Resources Emergency Pediatrics Radiology Pathology ... Miscellaneous Resources See also: Neurological Diagnostic Clinical Procedure Resources General Infectious Diseases Clinical Resources Epidural Abscess Patient/Family Resources Harrison's Principles of Internal Medicine 15th Ed.-2001: Table of contents Health Sciences Library subscription INFO Chapter 16: Back and Neck Pain Table of contents Introduction: Access document Anatomy of the Spine: Access document Approach to the Patient: Access document Causes of Back Pain: Access document Other Destructive Diseases: Access document Chapter 372: Bacterial Meningitis and Other Suppurative Infections Table of contents Epidural Abscess Access document Definition Access document Etiology and Pathophysiology Access document Clinical Presentation Access document Diagnosis Access document Treatment Access document Mandell: Principles and Practice of Infectious Diseases 5th Ed.-2000 (MD Consult): Table of contents Health Sciences Library subscription INFO Chapter 70 - Approach to the Patient with Central Nervous System Infection Access document Common Clinical Manifestations Suggesting Central Nervous System Infection Access document Anatomic Relationships of the Brain and Spinal Cord Access document Role of the Intracranial Circulation in Central Nervous System Infections Access document Role of the Cerebrospinal Fluid Circulation in Central Nervous System Infections Access document Routes of Entry into the Central

28. Epidural Abscess Spinal Spinal epidural abscess. If a patient's back pain is not midline and not associatedwith point tenderness it is probably not from a spinal epidural abscess. http://uscneurosurgery.com/glossary/e/epidural abscess spinal.htm

Spinal epidural abscess Collection of pus in the epidural space around the spinal cord. This diagnosis should be strongly considered in any patient with fever and back pain. If a patient's back pain is not midline and not associated with point tenderness it is probably not from a spinal epidural abscess. Because spinal cord infarction results in a devastating irreversible loss of neurologic function, prevention of this dreaded eventuality is the rationale behind every management surgical or pharmacologic strategy. A patient who presents with fever, back pain, and bilateral lower extremity weekness has an epidural abscess until proven otherwise. The reason why spinal cord function fails along an epidural abscess is not known. There ischemia and infarction of the cord which is due to either or a combination of compression and inflammation. Compression results from a mass of pus growing and expanding the narrow space between the spinal cord and the bony wall of the spinal canal. At a volume of ten cubic centimeters (two or three teaspoonsful) a mass of pus begins to indent the spinal cord pushing it over and into the unyielding wall of the intervertebral canal. At a certain critical pressure (ergs per square centimeter) axonal transport and other neuronal functions necessary for normal message transmission and neurologic function, cease. At the same time that compression can impair neurologic function by its physical affects directly on tissue, compression also can indirectly cause tissue destruction by occluding arteries that supply blood (oxygen) to the spinal cord, resulting in ischemia and possibly infarction.

29. Spinal Epidural Infections If a patient's back pain is not midline and not associated with point tendernessit is probably not from a spinal epidural abscess. Spinal epidural abscess. http://uscneurosurgery.com/glossary/s/spinal_epidural_infections.htm

Spinal epidural infection Pus in the epidural space. The diagnosis should be strongly considered in any patient with fever and back pain. If a patient's back pain is not midline and not associated with point tenderness it is probably not from a spinal epidural abscess.  Because spinal cord infarction results in a devastating irreversible loss of neurologic function, prevention of this dreaded eventuality is the rationale behind every management surgical or pharmacologic strategy. A patient who presents with fever, back pain, and bilateral lower extremity weekness has an epidural abscess until proven otherwise. The reason why spinal cord function fails along an epidural abscess is not known. There ischemia and infarction of the cord which is due to either or a combination of compression and inflammation. Compression results from a mass of pus growing and expanding the narrow space between the spinal cord and the bony wall of the spinal canal. At a volume of ten cubic centimeters (two or three teaspoonsful) a mass of pus begins to indent the spinal cord pushing it over and into the unyielding wall of the intervertebral canal. At a certain critical pressure (ergs per square centimeter) axonal transport and other neuronal functions necessary for normal message transmission and neurologic function, cease.  At the same time that compression can impair neurologic function by its physical affects directly on tissue, compression also can indirectly cause tissue destruction by occluding arteries that supply blood (oxygen) to the spinal cord, resulting in ischemia and possibly infarction.

30. Spinal Epidural Abscess: 1-Year Survey Incidence of Spinal epidural abscess after Epidural Analgesia A National1year Survey Wang LP et al. Anesthesiology. 91(6)1928-36, 1999 Dec. http://freespace.virgin.net/info.anesedrp/Wang-EpidAbscess-Fletcher.html

Incidence of Spinal Epidural Abscess after Epidural Analgesia: A National 1-year Survey Wang LP et al. Anesthesiology. 91(6):1928-36, 1999 Dec. Reviewed by: James Fletcher, MD Summary: This Danish study comments on previous data reporting an incidence of 0/9,232 cases in Sweden, 2/13,000 in Germany, and 3% in a small US study using epidurals for long term management of chronic pain. The present multicenter prospective study collected data on epidural abscesses as they occurred. A denominator was calculated from the number of epidurals placed at each participating hospital. Results: 17,372 epidurals were placed during the study period. 12 possible abscesses were found. 9 were real (2 were subcutaneous infections, 1 a complication from catheter placement): Incidence was 1:1930. By type of hospital: 1:5661 at university hospitals 1:796 at community hospitals. Level: 5 thoracic, 4 lumbar Indications: 6 post-op pain, 2 cancer pain, 1 trauma pain Symptoms: 1 meningitis, 5 febrile, 6 signs of local infection, 6 localized back pain, 7 paraplegic symptoms Staph aureus in 5 pts, coag neg staph in one, no growth in 2

31. Member Sign In Spinal epidural abscess After Corticosteroid Injections from Southern MedicalJournal Posted 09/11/2002 Vijay K. Koka, MD, MPH, and Anil Potti, MD. http://www.medscape.com/viewarticle/439456

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32. Member Sign In Spinal epidural abscess After Corticosteroid Injections from SouthernMedical Journal. Discussion. Spinal epidural abscess is uncommon http://www.medscape.com/viewarticle/439456_3

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33. Spinal Epidural Abscess 26, 1996. Spinal epidural abscess. Suggested Reading. Darouiche, RO, Hamill, RJ,Greenberg, SB, Weathers, SW, Musher, DM Bacterial Spinal epidural abscess. http://www.ccm.lsuhsc-s.edu/bugbytes/Volume3/bb-v3n2.htm

Bug Bytes Volume 3 Number 2 - Sept. 26, 1996 Spinal Epidural Abscess Etiology Although virtually any organism can cause SEA, Staphylococcus aureus causes 60-90% of all cases. Less common pathogens include M. tuberculosis, fungi, and even parasites. Diagnosis The combination of back pain, fever, and local vertebral tenderness upon palpation or percussion of the spine strongly suggests a SEA. This triad constitutes adequate reason to obtain a Magnetic Resonance Imaging (MRI) scan and to request neurosurgical help in evaluating the patient. Approximately 66% of patients with SEA present within two weeks of the development of symptoms. Historically, SEA has been characterized by four clinical stages: Stage 1 - Spinal ache; Stage 2 - Root Pain; Stage 3 - Weakness; and Stage 4 - Paralysis. As damage to the spinal cord progresses, the patient may exhibit bowel and bladder dysfunction, weakness or paralysis of the extremities, and sensory deficits. However, neurologic deterioration is highly variable and may not progress from one stage to the next in an orderly manner. Because it is not uncommon for acute SEA to progress from Stages 1 or 2 to Stage 4 (paralysis) in a matter of hours, the utility of staging SEA is questionable. Therapy Traditionally, SEA has been considered a neurosurgical emergency. Standard management of patients with non-tuberculous SEA (NT-SEA) is immediate surgical drainage and decompression followed by six or more weeks of antimicrobial therapy directed against the organism isolated at surgery. Because

34. Iatrogenic Spinal Epidural Abscess And Discitis After Lumbar Disc Surgery: Can E Iatrogenic spinal epidural abscess and discitis after lumbar disc surgeryCan epidural steroids be responsible for abscess formation? http://med.ege.edu.tr/norolbil/2001/2001_3_32.htm

Journal of Neurological Sciences (Turkish) Online Resources Table of Contents Norol Bil D, Volume 18, Issue 3: July-September 2001, #32 Iatrogenic spinal epidural abscess and discitis after lumbar disc surgery: Can epidural steroids be responsible for abscess formation? S. Naderi, F. Acar and, MN. Arda Dokuz Eylül University School of Medicine, Department Neurosurgery, Inciralti, Izmir , Turkey ABSTRACT A 67-year-old male was operated for a recurrent L4-5 disc herniation. Intraoperative corticosteroid was used topically on epidural space before closure. 15 days after surgery he was readmitted because of severe pain in low back and lower extremities. A lumbar epidural abscess was diagnosed and he was reoperated, his abscess was drained and he was treated with parenteral antibiotics. In this article effect of intraoperative topical epidural corticosteroid usage on postoperative epidural abscess is discussed and literature is reviewed. It is stated that, postoperative lumbar epidural abscess is a benign disease in case treated properly. Surgical drainage and 3-4 weeks of parenteral antibiotherapy is adequate. Key words: iatrogenic epidural abscess, lumbar disc surgery, steroid.

35. UCLA NEUROSURGERY | Spinal Disorders & Diseases SPINAL DISEASES DISORDERS Spinal epidural abscess. What is a spinalepidural abscess? A How common is spinal epidural abscess? The http://www.neurosurgery.medsch.ucla.edu/Diagnoses/Spinal/SpinalDis_14.html

Spinal Epidural Abscess COMPREHENSIVE SPINE PROGRAM COMPREHENSIVE SPINE DIAGNOSES INDEX What is a spinal epidural abscess? A spinal epidural abscess is an infection localized to the epidural space in the spinal column. The epidural space is between the bony spine and the dura mater. This infection can result in compression of the spinal cord and nerves as they leave the spinal canal. How common is spinal epidural abscess? The incidence of spinal epidural abscess is approximately 0.2 - 1.2 per 10,000 hospital admissions annually. The average age of patients with this condition is 57 years. 65% of patients with spinal epidural abscess have chronic disease associated with compromised immunity. Other associated conditions include diabetes mellitus (32%), IV drug abuse (18%), chronic renal failure (12%), and alcoholism (10%). Where are spinal epidural abscesses located? The thoracic level is the most common site reported (50%), followed by lumbar (35%) then cervical (15%). 82% of the infections are posterior (located toward the back), while 18% are anterior (located toward the front). What are the clinical features of a spinal epidural abscess?

36. Medi-Fax Atlas Series - Epidural Abscess epidural abscess. Contributor Dr. Chris Ekong. Case 1. MRI of Cervical spine showingC34 epidural abscess. A Project of The Emmanuel Charitable Foundation. http://www.medi-fax.com/atlas/spineinfection/case1.html

Medi-Fax Home Previous Page Medi-Fax Atlas Series Atlas of Spine - Infections Editor: Dr. Chris Ekong Navigation Atlas Series Health Information CDs Health Information Centre ThinkFirst Web Pages ... Links Epidural Abscess Contributor: Dr. Chris Ekong Case 1 Age: Sex: Female History: Sudden severe neck pain in an immunosupressed lady with renal failure who has been receiving dialysis for last 3 years. Examination showed slight tenderness in the cervical region. Pre-op X-Rays MRI of Cervical spine showing C34 epidural abscess. A Project of The Emmanuel Charitable Foundation Last Updated: September 18, 2001

37. NEJM -- Spinal Epidural Abscess Original Article from The New England Journal of Medicine Spinal epidural abscess. Spinalepidural abscess AS Baker, RG Ojemann, MN Swartz, and EP Richardson. http://content.nejm.org/cgi/content/short/293/10/463

HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Volume 293:463-468 September 4, 1975 Number 10 Next Spinal epidural abscess AS Baker, RG Ojemann, MN Swartz, and EP Richardson Table of Contents Find Similar Articles in the Journal Notify a friend about this article Add to Personal Archive ... Related Articles in Medline Articles in Medline by Author: Baker, A. S. Richardson, E. P. Medline Citation Abstract This article has been cited by other articles: Phillips, J. M. G., Stedeford, J. C., Hartsilver, E., Roberts, C. (2002). Epidural abscess complicating insertion of epidural catheters. Br J Anaesth [Abstract] [Full Text] (2002). Back pain and systemic compromise. Postgrad Med J [Full Text] Aram, L., Krane, E. J., Kozloski, L. J., Yaster, M. (2001). Tunneled Epidural Catheters for Prolonged Analgesia in Pediatric Patients. Anesth Analg [Abstract] [Full Text] Batchelor, T. T., Louis, D. N. (1997). Case 39-1997- A 67-Year-Old Woman with the Cauda Equina Syndrome. N Engl J Med [Full Text] Harrington, P, Millner, P A, Veale, D (2001). Inappropriate medical management of spinal epidural abscess. Ann Rheum Dis [Abstract] [Full Text] Mackenzie, A R, Laing, R B S, Smith, C C, Kaar, G F, Smith, F W (1998). Spinal epidural abscess: the importance of early diagnosis and treatment.

38. NEJM -- Spinal Epidural Abscess Next Next. Spinal epidural abscess AS Baker, RG Ojemann, MN Swartz, and EP Richardson. In16 per cent epidural abscess was due to postoperative infection. http://content.nejm.org/cgi/content/abstract/293/10/463

HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Volume 293:463-468 September 4, 1975 Number 10 Next Spinal epidural abscess AS Baker, RG Ojemann, MN Swartz, and EP Richardson Table of Contents Find Similar Articles in the Journal Notify a friend about this article Add to Personal Archive ... Related Articles in Medline Articles in Medline by Author: Baker, A. S. Richardson, E. P. Medline Citation Abstract This article has been cited by other articles: Phillips, J. M. G., Stedeford, J. C., Hartsilver, E., Roberts, C. (2002). Epidural abscess complicating insertion of epidural catheters. Br J Anaesth [Abstract] [Full Text] (2002). Back pain and systemic compromise. Postgrad Med J [Full Text] Aram, L., Krane, E. J., Kozloski, L. J., Yaster, M. (2001). Tunneled Epidural Catheters for Prolonged Analgesia in Pediatric Patients. Anesth Analg [Abstract] [Full Text] Batchelor, T. T., Louis, D. N. (1997). Case 39-1997- A 67-Year-Old Woman with the Cauda Equina Syndrome. N Engl J Med [Full Text] Harrington, P, Millner, P A, Veale, D (2001). Inappropriate medical management of spinal epidural abscess. Ann Rheum Dis [Abstract] [Full Text] Mackenzie, A R, Laing, R B S, Smith, C C, Kaar, G F, Smith, F W (1998). Spinal epidural abscess: the importance of early diagnosis and treatment.

39. Epidural Abscess And Staphylococcus Aureus Endocarditis - A Rare Association - P epidural abscess and Staphylococcus Aureus Endocarditis A Rare Association P.Malhotra, S. Jain, S. Kumari, Paramjeet , S. Varma Departments of Internal http://www.neurologyindia.com/vol50-3/1625ab.php

OFFICIAL JOURNAL OF NEUROLOGICAL SOCIETY OF INDIA Neurology India Volume 50 Issue 3 - September 2002 CASE REPORTS VOL50-3 Epidural Abscess and Staphylococcus Aureus Endocarditis - A Rare Association P. Malhotra, S. Jain, S. Kumari, Paramjeet , S. Varma Departments of Internal Medicine and Radiodiagnosis*, Postgraduate Institute of Medical Education and ResearchChandigarh - 160 012, India. Keywords : Epidural abscess, Infective endocarditis, Staphylococcus aureus, Spinal, Treatment. Summary : Epidural abscess is a relatively uncommon disorder. Although the surgical management is the mainstay of treatment, there are case reports of it being managed conservatively in selected patients. We report a patient who presented with quadreparesis due to epidural abscess and had infective endocarditis due to Staphylococcus aureus septicemia. Both epidural abscess and infective endocarditis were managed conservatively with intravenous antibiotics given for four weeks, with complete recovery of patient. Full Article Full Articles are available in .pdf format. To view these, you require

40. Primary Cutaneous Nocardiosis With Epidural Abscess Caused By Nocardia Brasilien Primary Cutaneous Nocardiosis with epidural abscess Caused by Nocardia brasiliensis A Case Report V. Lakshmi, C. Sundaram, AK Meena, J. MK Murthy Departments http://www.neurologyindia.com/vol50-1/1558ab.php

OFFICIAL JOURNAL OF NEUROLOGICAL SOCIETY OF INDIA Neurology India Volume 50 Issue 1 - March 2002 CASE REPORTS VOL50-1 Primary Cutaneous Nocardiosis with Epidural Abscess Caused by Nocardia brasiliensis : A Case Report V. Lakshmi, C. Sundaram, A. K. Meena, J. M.K. Murthy Departments of Microbiology, Pathology* and Neurology**, Nizam's Institute of Medical Sciences, Hyderabad - 500 082, India. Keywords : Nocardiosis, Mycetoma, Trauma. Summary : Dissemination of primary cutaneous nocardiosis is a rare event. An interesting case of a 20 year old female labourer with progressive weakness in both the lower limbs and large multiple subcutaneous abscesses over the back, since 4 years, is presented. MRI showed an epidural abscess compressing the cord. Histopathology of skin lesions suggested a chronic suppurative lesion. Microbiological tests on the aspirate from the skin lesion identified the causative organism as Nocardia brasiliensis. Full Article Full Articles are available in .pdf format. To view these, you require Acrobat Reader Instructions to Authors Editor : S.Prabhakar

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