PDF(Pubmed)
Abstract：
We present a case of a 94-year-old female who presented to the emergency room with a fever and generalized weakness without an initial obvious source of infection. Throughout admission, she continued to be febrile despite broad-spectrum antibiotics. Several days into admission, the patient complained of severe back pain, necessitating magnetic resonance imaging (MRI) of the entire spine. The imaging revealed an extensive epidural fluid collection consistent with a spinal epidural abscess. Fortunately, she did not have any neurological deficits and was treated conservatively with IV antibiotics with improvement. This case highlights this rare presentation and the importance of early diagnosis and management of spinal epidural abscesses.
摘要：
我们介绍了一例94岁的女性，她因发烧和全身无力而出现在急诊室，而没有最初的明显感染源。在整个录取过程中，尽管有广谱抗生素，她仍然发烧。入院几天后，病人抱怨严重的背痛，需要对整个脊柱进行磁共振成像（MRI）。影像学检查显示硬膜外积液广泛，与脊髓硬膜外脓肿一致。幸运的是,她没有任何神经功能缺损,并接受了静脉抗生素的保守治疗,改善.此病例强调了这种罕见的表现以及早期诊断和治疗脊柱硬膜外脓肿的重要性。
