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Article Details

Case Report

Volume 6, Issue 4 (April Issue)

UTI-Associated Lumbar Epidural Abscess with Discitis and Osteomyelitis in a 47-Year-Old Male: Diagnosis and Surgical Intervention

Connor W. Hong1, Bejan A. Alvandi2* and Vivek Mohan3

1Medical Student, UNC Chapel Hill School of Medicine, USA
2Resident Physician, Department of Orthopaedic Surgery, Northwestern University, USA
3Vivek Mohan, Attending Orthopaedic Spine Surgeon, USA

*Corresponding author: Bejan A. Alvandi, Resident Physician, Department of Orthopaedic Surgery, Northwestern University, USA.
E-mail: bejan.alvandi@gmail.com

Received: March 24, 2024; Accepted: April 08, 2024; Published: April 15, 2024

Citation: Hong CW, Alvandi BA, Mohan V. UTI-Associated Lumbar Epidural Abscess with Discitis and Osteomyelitis in a 47-Year-Old Male: Diagnosis and Surgical Intervention. Clin Image Case Rep J. 2024; 6(4): 390.

UTI-Associated Lumbar Epidural Abscess with Discitis and Osteomyelitis in a 47-Year-Old Male: Diagnosis and Surgical Intervention
Abstract

Introduction: Spinal epidural abscess is a serious condition associated with possible catastrophic neurologic sequelae. Acting through a mass effect, an infectious collection threatens spinal cord perfusion by compressing the surrounding vasculature. We discuss the unique presentation of a urinary tract infection-associated lumbar spinal epidural abscess in an otherwise healthy 47-year-old male.

Case Report: A 47-year-old male with no past medical history presented with complaints of worsening low back pain following a trip to India approximately two months prior to his first orthopaedic spine surgery consultation. In the setting of worsening low back pain, failure of trial of nonoperative management, and elevated inflammatory markers, the patient was admitted and found to have urinary tract infection-associated L4-L5 spinal epidural abscess with associated L4-L5 discitis and osteomyelitis. This case report evaluates the clinical history, diagnostic workup, and treatment of urinary tract infection-associated lumbar epidural abscesses.

Conclusion: Epidural abscesses are suppurative collections around the dura with potentially devastating neurologic complications. This report outlines the diagnostic challenges and treatment strategies associated with a urinary tract infection-associated epidural abscess in a middle-aged male with no underlying comorbidities.

Keywords: Spinal epidural abscess; Urinary tract infection; UTI; Lumbar; Spine; Discitis; Osteomyelitis; E. coli