Abstract
Spinal epidural abscess is an uncommon disease, especially cervical infection is rare. Recently, epidural abscess by methicillin-resistant Staphyrococcus aureus (MRSA) is slightly increasing. Rapid evaluation and immediate surgical drainage and antibiotic therapy are very important for possible functional recovery.We report two rare cases of a 73-year-old woman and 75-year-old man with cervical spinal epidural abscess caused by MRSA after surgery for malignant tumor. They also complained of diabetes mellitus. The infection spread to the epidural space hematogenously from the central venous catheter. MRI revealed that abscess was low- or iso-intensity signal on T1-weighted image, high-intensity signal on T2-weighted image and ring-enhanced signal on Gadolinium-enhanced image. We treated case 1 with surgical drainage and antibiotic therapy and case 2 with only antibiotic, and used vancomycin as the antibiotic. Use of vancomycin requires therapeutic drug monitoring.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
