7/20 Morning Report w/ Alice: Early Epidural Abscess

An elderly female w/ history of laminectomy and recent spinal anesthesia presents with acute onset fever and midline low back pain, ultimately found to have subtle enhancement on MRI consistent with an early epidural abscess.
*Because of advanced imaging, we are often catching epidural abscesses at an earlier stage than before. If the clinical scenario fits, even these small enhancements should be treated with IV abx to prevent progression to larger epidural abscesses
*Reimaging for epidural abscess is not recommended unless there is concern for treatment failure (uptrending inflammatory markers, new neuro sx, worsening pain/fever)
Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s