Case Report

A unique case of metastatic spinal epidural abscess associated with liver abscess following ascending cholangitis and Escherichia coli bacteremia

Nour Karra#, Samer Ganam#, Amitai Bickel, Maxim Bez, Ibrahim Abu Shakra, Doron Fischer and Eli Kakiashvili*

Published: 06 November, 2019 | Volume 3 - Issue 2 | Pages: 072-076

Pyogenic liver abscess (PLA) is a life-threatening infection that may develop as a result of an underlying hepatobiliary disease. A possible complication of PLA is metastatic spread, resulting in distant seeding of infection in other organs, and occasionally in the epidural space. Spinal epidural abscess (SEA) is a rare infection with severe potential complications. We describe a 71-year-old patient who presented with ascending cholangitis that was complicated by micro PLA, with a subsequent Escherichia coli bacteremia and metastatic SEA. An emergent surgical intervention with laminotomy and drainage of the epidural collection was performed. The patient was treated with a prolonged antibiotic regimen, with uneventful recovery and no neurologic sequelae. To our knowledge, this is the first reported case of a SEA following E. coli PLA.

Read Full Article HTML DOI: 10.29328/journal.ascr.1001039 Cite this Article Read Full Article PDF


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