Spinal epidural abscess: Esophageal fistula as a potential infection source

We present a case report of a man with a history of esophageal cancer who presented with fever, pain, and lower extremity weakness. The patient previously underwent chemotherapy, radiation, and immunotherapy treatment. He also underwent esophageal dilation, stent placement, and removal. MRI scans of...

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Main Authors:	Amanda A. Herrmann, PhD, Sally I. Othman, MD, Kathryn M. DeFoe, Eric J. Carolan, MD, Michael H. Rosenbloom, MD
Format:	Article
Language:	English
Published:	Elsevier 2019-06-01
Series:	Interdisciplinary Neurosurgery
Online Access:	http://www.sciencedirect.com/science/article/pii/S2214751918302895

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spelling	doaj-3db199697f5c47f6aa76f3cb3b3c73f82020-11-25T00:36:18ZengElsevierInterdisciplinary Neurosurgery2214-75192019-06-01164243Spinal epidural abscess: Esophageal fistula as a potential infection sourceAmanda A. Herrmann, PhD0Sally I. Othman, MD1Kathryn M. DeFoe2Eric J. Carolan, MD3Michael H. Rosenbloom, MD4HealthPartners Neuroscience Center, 295 Phalen Blvd. Mailstop 41200A, St. Paul, MN, USA; HealthPartners Institute, 8170 33rd Ave S, Bloomington, MN, USAHealthPartners Neuroscience Center, 295 Phalen Blvd. Mailstop 41200A, St. Paul, MN, USAHealthPartners Neuroscience Center, 295 Phalen Blvd. Mailstop 41200A, St. Paul, MN, USASt. Paul Radiology, 166 4th St E, St. Paul, MN, USAHealthPartners Neuroscience Center, 295 Phalen Blvd. Mailstop 41200A, St. Paul, MN, USA; Regions Hospital, 640 Jackson St, St. Paul, MN, USA; Corresponding author at: HealthPartners Neuroscience Center, 295 Phalen Blvd. MS 41200A, St. Paul, MN 55130, USA.We present a case report of a man with a history of esophageal cancer who presented with fever, pain, and lower extremity weakness. The patient previously underwent chemotherapy, radiation, and immunotherapy treatment. He also underwent esophageal dilation, stent placement, and removal. MRI scans of the spine revealed a longitudinal spinal epidural abscess (SEA) resulting in compressive myelopathy. The suspected infection cause was gastrointestinal-associated Gram-negative rods tracking to the epidural space from an esophageal fistula. This case demonstrates the importance of early diagnosis and treatment and the role of fistula as an infection source in SEA. Keywords: Epidural abscess, Bacterial infections, Spinal cord infection, Esophageal fistula, Clinical neurology historyhttp://www.sciencedirect.com/science/article/pii/S2214751918302895
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Amanda A. Herrmann, PhD Sally I. Othman, MD Kathryn M. DeFoe Eric J. Carolan, MD Michael H. Rosenbloom, MD
spellingShingle	Amanda A. Herrmann, PhD Sally I. Othman, MD Kathryn M. DeFoe Eric J. Carolan, MD Michael H. Rosenbloom, MD Spinal epidural abscess: Esophageal fistula as a potential infection source Interdisciplinary Neurosurgery
author_facet	Amanda A. Herrmann, PhD Sally I. Othman, MD Kathryn M. DeFoe Eric J. Carolan, MD Michael H. Rosenbloom, MD
author_sort	Amanda A. Herrmann, PhD
title	Spinal epidural abscess: Esophageal fistula as a potential infection source
title_short	Spinal epidural abscess: Esophageal fistula as a potential infection source
title_full	Spinal epidural abscess: Esophageal fistula as a potential infection source
title_fullStr	Spinal epidural abscess: Esophageal fistula as a potential infection source
title_full_unstemmed	Spinal epidural abscess: Esophageal fistula as a potential infection source
title_sort	spinal epidural abscess: esophageal fistula as a potential infection source
publisher	Elsevier
series	Interdisciplinary Neurosurgery
issn	2214-7519
publishDate	2019-06-01
description	We present a case report of a man with a history of esophageal cancer who presented with fever, pain, and lower extremity weakness. The patient previously underwent chemotherapy, radiation, and immunotherapy treatment. He also underwent esophageal dilation, stent placement, and removal. MRI scans of the spine revealed a longitudinal spinal epidural abscess (SEA) resulting in compressive myelopathy. The suspected infection cause was gastrointestinal-associated Gram-negative rods tracking to the epidural space from an esophageal fistula. This case demonstrates the importance of early diagnosis and treatment and the role of fistula as an infection source in SEA. Keywords: Epidural abscess, Bacterial infections, Spinal cord infection, Esophageal fistula, Clinical neurology history
url	http://www.sciencedirect.com/science/article/pii/S2214751918302895
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Spinal epidural abscess: Esophageal fistula as a potential infection source

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