Spinal Epidural Abscess Diagnosed at Lumbar Puncture Tap and Revealed by Paraparesis

Sylvain Raoul Simeni Njonnou; Lolita Noundjeu Kamdem; Aimée Tiodoung Timnou; Caroline Ngoufack; Sandrine Lynda Sa’a Lontsi; Marie-Josiane Ntsama Essomba; Odette Kengni Kebiwo; Ahmadou Musa Jingi; Alice Ninon Tsitsol Meke; Madeleine Singwe-Ngandeu

doi:doi:10.11648/j.ijidt.20190402.13

Spinal Epidural Abscess Diagnosed at Lumbar Puncture Tap and Revealed by Paraparesis

Sylvain Raoul Simeni Njonnou, Lolita Noundjeu Kamdem, Aimée Tiodoung Timnou, Caroline Ngoufack, Sandrine Lynda Sa’a Lontsi, Marie-Josiane Ntsama Essomba, Odette Kengni Kebiwo, Ahmadou Musa Jingi, Alice Ninon Tsitsol Meke, Madeleine Singwe-Ngandeu

Published in International Journal of Infectious Diseases and Therapy (Volume 4, Issue 2)

Received: 14 June 2019 Accepted: 10 July 2019 Published: 24 July 2019

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Abstract

Spinal epidural abscess (SEA) is a deadly disease if not promptly treated with antibiotics, either in association with neurosurgery or not. Motor impairment remains the most complication, but death can occur particularly in a resource-limited setting. We report a case of spinal epidural abscess in a 56-year-old female in an urban setting in Cameroon complicated motor impairment. She presented with a 1-week history of back pain and pollakiuria. The diagnosis was done by a lumbar puncture tap. Despite an improvement in the availability of diagnostic and therapeutic modalities for neurologic emergencies, affordability is still a challenge. An increase in our technical platform and accessibility of anyone to care remain a big challenge in sub-Saharan Africa.

Published in	International Journal of Infectious Diseases and Therapy (Volume 4, Issue 2)
DOI	10.11648/j.ijidt.20190402.13
Page(s)	29-32
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Spinal Epidural Abscess, Paraparesis, Sub-Saharan Africa

References

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[2]	Vakili M, Crum-Cianflone NF. Spinal Epidural Abscess: A Series of 101 Cases. Am J Med. 2017; 130 (12): 1458-63.
[3]	Mackenzie AR, Laing RB, Smith CC, Kaar GF, Smith FW. Spinal epidural abscess: the importance of early diagnosis and treatment. J Neurol Neurosurg Psychiatry. 1998; 65 (2): 209-12.
[4]	Deyo RA, Weinstein JN. Low Back Pain. N Engl J Med. 2001; 344 (5): 363-70.
[5]	Alerhand S, Wood S, Long B, Koyfman A. The time-sensitive challenge of diagnosing spinal epidural abscess in the emergency department. Intern Emerg Med. 2017; 12 (8): 1179-83.
[6]	Ju M-W, Choi S-W, Kwon H-J, Kim S-H, Koh H-S, Youm J-Y, et al. Treatment of Spinal Epidural Abscess and Predisposing Factors of Motor Weakness: Experience with 48 Patients. Korean J Spine. 2015; 12 (3): 124.
[7]	Reihsaus E, Waldbaur H, Seeling W. Spinal epidural abscess: a meta-analysis of 915 patients. Neurosurg Rev. 2000; 23 (4): 175-204; discussion 205.
[8]	Sendi P, Bregenzer T, Zimmerli W. Spinal epidural abscess in clinical practice. QJM Int J Med. 2008; 101 (1): 1-12.
[9]	Tang H-J, Lin H-J, Liu Y-C, Li C-M. Spinal epidural abscess--experience with 46 patients and evaluation of prognostic factors. J Infect. 2002; 45 (2): 76-81.
[10]	Hill JS, Hughes EW, Robertson PA. A Staphylococcus aureus paraspinal abscess associated with epidural analgesia in labour: Case reports. Anaesthesia. 2001; 56 (9): 873-8.
[11]	Heusner AP. Nontuberculous Spinal Epidural Infections. N Engl J Med. 1948; 239 (23): 845-54.
[12]	Epstein NE. Timing and prognosis of surgery for spinal epidural abscess: A review. Surg Neurol Int. 2015; 6 (Suppl 19): S475-86.
[13]	Darouiche RO. Spinal Epidural Abscess. N Engl J Med. 2006; 355 (19): 2012-20.
[14]	Curry WT, Hoh BL, Amin-Hanjani S, Eskandar EN. Spinal epidural abscess: clinical presentation, management, and outcome. Surg Neurol. 2005; 63 (4): 364-71.
[15]	Leys D, Lesoin F, Viaud C, Pasquier F, Rousseaux M, Jomin M, et al. Decreased morbidity from acute bacterial spinal epidural abscesses using computed tomography and nonsurgical treatment in selected patients. Ann Neurol. 1985; 17 (4): 350-5.
[16]	Mampalam TJ, Rosegay H, Andrews BT, Rosenblum ML, Pitts LH. Non operative treatment of spinal epidural infections. J Neurosurg. 1989; 71 (2): 208-10.
[17]	Kim SD, Melikian R, Ju KL, Zurakowski D, Wood KB, Bono CM, et al. Independent predictors of failure of nonoperative management of spinal epidural abscesses. Spine J. 2014; 14 (8): 1673-9.

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APA Style

Sylvain Raoul Simeni Njonnou, Lolita Noundjeu Kamdem, Aimée Tiodoung Timnou, Caroline Ngoufack, Sandrine Lynda Sa’a Lontsi, et al. (2019). Spinal Epidural Abscess Diagnosed at Lumbar Puncture Tap and Revealed by Paraparesis. International Journal of Infectious Diseases and Therapy, 4(2), 29-32. https://doi.org/10.11648/j.ijidt.20190402.13

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ACS Style

Sylvain Raoul Simeni Njonnou; Lolita Noundjeu Kamdem; Aimée Tiodoung Timnou; Caroline Ngoufack; Sandrine Lynda Sa’a Lontsi, et al. Spinal Epidural Abscess Diagnosed at Lumbar Puncture Tap and Revealed by Paraparesis. Int. J. Infect. Dis. Ther. 2019, 4(2), 29-32. doi: 10.11648/j.ijidt.20190402.13

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AMA Style

Sylvain Raoul Simeni Njonnou, Lolita Noundjeu Kamdem, Aimée Tiodoung Timnou, Caroline Ngoufack, Sandrine Lynda Sa’a Lontsi, et al. Spinal Epidural Abscess Diagnosed at Lumbar Puncture Tap and Revealed by Paraparesis. Int J Infect Dis Ther. 2019;4(2):29-32. doi: 10.11648/j.ijidt.20190402.13

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@article{10.11648/j.ijidt.20190402.13,
  author = {Sylvain Raoul Simeni Njonnou and Lolita Noundjeu Kamdem and Aimée Tiodoung Timnou and Caroline Ngoufack and Sandrine Lynda Sa’a Lontsi and Marie-Josiane Ntsama Essomba and Odette Kengni Kebiwo and Ahmadou Musa Jingi and Alice Ninon Tsitsol Meke and Madeleine Singwe-Ngandeu},
  title = {Spinal Epidural Abscess Diagnosed at Lumbar Puncture Tap and Revealed by Paraparesis},
  journal = {International Journal of Infectious Diseases and Therapy},
  volume = {4},
  number = {2},
  pages = {29-32},
  doi = {10.11648/j.ijidt.20190402.13},
  url = {https://doi.org/10.11648/j.ijidt.20190402.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20190402.13},
  abstract = {Spinal epidural abscess (SEA) is a deadly disease if not promptly treated with antibiotics, either in association with neurosurgery or not. Motor impairment remains the most complication, but death can occur particularly in a resource-limited setting. We report a case of spinal epidural abscess in a 56-year-old female in an urban setting in Cameroon complicated motor impairment. She presented with a 1-week history of back pain and pollakiuria. The diagnosis was done by a lumbar puncture tap. Despite an improvement in the availability of diagnostic and therapeutic modalities for neurologic emergencies, affordability is still a challenge. An increase in our technical platform and accessibility of anyone to care remain a big challenge in sub-Saharan Africa.},
 year = {2019}
}

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TY  - JOUR
T1  - Spinal Epidural Abscess Diagnosed at Lumbar Puncture Tap and Revealed by Paraparesis
AU  - Sylvain Raoul Simeni Njonnou
AU  - Lolita Noundjeu Kamdem
AU  - Aimée Tiodoung Timnou
AU  - Caroline Ngoufack
AU  - Sandrine Lynda Sa’a Lontsi
AU  - Marie-Josiane Ntsama Essomba
AU  - Odette Kengni Kebiwo
AU  - Ahmadou Musa Jingi
AU  - Alice Ninon Tsitsol Meke
AU  - Madeleine Singwe-Ngandeu
Y1  - 2019/07/24
PY  - 2019
N1  - https://doi.org/10.11648/j.ijidt.20190402.13
DO  - 10.11648/j.ijidt.20190402.13
T2  - International Journal of Infectious Diseases and Therapy
JF  - International Journal of Infectious Diseases and Therapy
JO  - International Journal of Infectious Diseases and Therapy
SP  - 29
EP  - 32
PB  - Science Publishing Group
SN  - 2578-966X
UR  - https://doi.org/10.11648/j.ijidt.20190402.13
AB  - Spinal epidural abscess (SEA) is a deadly disease if not promptly treated with antibiotics, either in association with neurosurgery or not. Motor impairment remains the most complication, but death can occur particularly in a resource-limited setting. We report a case of spinal epidural abscess in a 56-year-old female in an urban setting in Cameroon complicated motor impairment. She presented with a 1-week history of back pain and pollakiuria. The diagnosis was done by a lumbar puncture tap. Despite an improvement in the availability of diagnostic and therapeutic modalities for neurologic emergencies, affordability is still a challenge. An increase in our technical platform and accessibility of anyone to care remain a big challenge in sub-Saharan Africa.
VL  - 4
IS  - 2
ER  -

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Author Information

Sylvain Raoul Simeni Njonnou

Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
Lolita Noundjeu Kamdem

Yaounde Central Hospital, Yaounde, Cameroon
Aimée Tiodoung Timnou

Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
Caroline Ngoufack

Yaounde Central Hospital, Yaounde, Cameroon
Sandrine Lynda Sa’a Lontsi

Yaounde Central Hospital, Yaounde, Cameroon
Marie-Josiane Ntsama Essomba

Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
Odette Kengni Kebiwo

Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
Ahmadou Musa Jingi

Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
Alice Ninon Tsitsol Meke

Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
Madeleine Singwe-Ngandeu

Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon

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Plain Text BibTeX RIS

APA Style

Sylvain Raoul Simeni Njonnou, Lolita Noundjeu Kamdem, Aimée Tiodoung Timnou, Caroline Ngoufack, Sandrine Lynda Sa’a Lontsi, et al. (2019). Spinal Epidural Abscess Diagnosed at Lumbar Puncture Tap and Revealed by Paraparesis. International Journal of Infectious Diseases and Therapy, 4(2), 29-32. https://doi.org/10.11648/j.ijidt.20190402.13

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ACS Style

Sylvain Raoul Simeni Njonnou; Lolita Noundjeu Kamdem; Aimée Tiodoung Timnou; Caroline Ngoufack; Sandrine Lynda Sa’a Lontsi, et al. Spinal Epidural Abscess Diagnosed at Lumbar Puncture Tap and Revealed by Paraparesis. Int. J. Infect. Dis. Ther. 2019, 4(2), 29-32. doi: 10.11648/j.ijidt.20190402.13

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AMA Style

Sylvain Raoul Simeni Njonnou, Lolita Noundjeu Kamdem, Aimée Tiodoung Timnou, Caroline Ngoufack, Sandrine Lynda Sa’a Lontsi, et al. Spinal Epidural Abscess Diagnosed at Lumbar Puncture Tap and Revealed by Paraparesis. Int J Infect Dis Ther. 2019;4(2):29-32. doi: 10.11648/j.ijidt.20190402.13

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@article{10.11648/j.ijidt.20190402.13,
  author = {Sylvain Raoul Simeni Njonnou and Lolita Noundjeu Kamdem and Aimée Tiodoung Timnou and Caroline Ngoufack and Sandrine Lynda Sa’a Lontsi and Marie-Josiane Ntsama Essomba and Odette Kengni Kebiwo and Ahmadou Musa Jingi and Alice Ninon Tsitsol Meke and Madeleine Singwe-Ngandeu},
  title = {Spinal Epidural Abscess Diagnosed at Lumbar Puncture Tap and Revealed by Paraparesis},
  journal = {International Journal of Infectious Diseases and Therapy},
  volume = {4},
  number = {2},
  pages = {29-32},
  doi = {10.11648/j.ijidt.20190402.13},
  url = {https://doi.org/10.11648/j.ijidt.20190402.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20190402.13},
  abstract = {Spinal epidural abscess (SEA) is a deadly disease if not promptly treated with antibiotics, either in association with neurosurgery or not. Motor impairment remains the most complication, but death can occur particularly in a resource-limited setting. We report a case of spinal epidural abscess in a 56-year-old female in an urban setting in Cameroon complicated motor impairment. She presented with a 1-week history of back pain and pollakiuria. The diagnosis was done by a lumbar puncture tap. Despite an improvement in the availability of diagnostic and therapeutic modalities for neurologic emergencies, affordability is still a challenge. An increase in our technical platform and accessibility of anyone to care remain a big challenge in sub-Saharan Africa.},
 year = {2019}
}

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TY  - JOUR
T1  - Spinal Epidural Abscess Diagnosed at Lumbar Puncture Tap and Revealed by Paraparesis
AU  - Sylvain Raoul Simeni Njonnou
AU  - Lolita Noundjeu Kamdem
AU  - Aimée Tiodoung Timnou
AU  - Caroline Ngoufack
AU  - Sandrine Lynda Sa’a Lontsi
AU  - Marie-Josiane Ntsama Essomba
AU  - Odette Kengni Kebiwo
AU  - Ahmadou Musa Jingi
AU  - Alice Ninon Tsitsol Meke
AU  - Madeleine Singwe-Ngandeu
Y1  - 2019/07/24
PY  - 2019
N1  - https://doi.org/10.11648/j.ijidt.20190402.13
DO  - 10.11648/j.ijidt.20190402.13
T2  - International Journal of Infectious Diseases and Therapy
JF  - International Journal of Infectious Diseases and Therapy
JO  - International Journal of Infectious Diseases and Therapy
SP  - 29
EP  - 32
PB  - Science Publishing Group
SN  - 2578-966X
UR  - https://doi.org/10.11648/j.ijidt.20190402.13
AB  - Spinal epidural abscess (SEA) is a deadly disease if not promptly treated with antibiotics, either in association with neurosurgery or not. Motor impairment remains the most complication, but death can occur particularly in a resource-limited setting. We report a case of spinal epidural abscess in a 56-year-old female in an urban setting in Cameroon complicated motor impairment. She presented with a 1-week history of back pain and pollakiuria. The diagnosis was done by a lumbar puncture tap. Despite an improvement in the availability of diagnostic and therapeutic modalities for neurologic emergencies, affordability is still a challenge. An increase in our technical platform and accessibility of anyone to care remain a big challenge in sub-Saharan Africa.
VL  - 4
IS  - 2
ER  -

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