A CASE OF EPIDURAL ABSCESS IN IMMUNOCOMPROMISED BACKGROUND
*Dr. Sumanta Sinha, Dr. Rupak Chatterjee, Dr. Debananda Gonjhu, Dr. Sekhar Pal, Dr. Kumkum Sarkar, Dr. Netai Pramanik
Spinal epidural abscess (SEA) is still a rare but dreaded complication of infection involving the spine especially in late presentation with immunocompromised background. Diagnosis of abscess formation is often delayed, specifically in the preliminary stages of the disease process before patients present with neurological symptoms. Classical symptoms of SEA are characterized by fever, back pain, and neurological symptoms, which are described as a classical triad, but this collection of symptoms is manifested in only about 10% of cases. Early suspicion of the disease process, initiation of appropriate and early treatment depending on the clinical finding and radiological investigations can often improve the situation even in late presentation where paralysis has already set in.
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