{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:19:46Z","timestamp":1787015986991,"version":"build-2736575974"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,4,19]],"date-time":"2018-04-19T00:00:00Z","timestamp":1524096000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Spinal cord stimulation (\n                      <jats:styled-content style=\"fixed-case\">SCS<\/jats:styled-content>\n                      ) can be beneficial for low back and radicular pain. A short trial of\n                      <jats:styled-content style=\"fixed-case\">SCS<\/jats:styled-content>\n                      evaluates the potential effectiveness of this therapy for a specific patient, while also decreasing the likelihood of a failed permanent implant. While rare, an epidural abscess is difficult to diagnose based on its nonspecific and unreliable clinical presentation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case<\/jats:title>\n                    <jats:p>\n                      We present a case of an acute\u2010onset methicillin\u2010sensitive\n                      <jats:italic>Staphylococcus aureus<\/jats:italic>\n                      epidural abscess 72 to 96\u00a0hours into a trial of a percutaneous spinal cord stimulator. The patient had no prior medical history of an immunocompromised state or other significant risk factors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>\n                      An epidural abscess can rapidly arise from an\n                      <jats:styled-content style=\"fixed-case\">SCS<\/jats:styled-content>\n                      trial despite strict aseptic technique and prophylactic pre\u2010procedural antibiotics. Spinal epidural abscesses are being detected earlier, and an increasing number of patients are being managed medically. However, it may be challenging to differentiate focal back pain from acute or chronic pain, expected post\u2010procedural pain, and a new entity such as an abscess.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papr.12691","type":"journal-article","created":{"date-parts":[[2018,3,8]],"date-time":"2018-03-08T02:12:37Z","timestamp":1520475157000},"page":"57-60","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Epidural Abscess During a Spinal Cord Stimulator Trial: A Case Report"],"prefix":"10.1111","volume":"19","author":[{"given":"Brian","family":"Wetherington","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine University of Kansas Medical Center Kansas City Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Talal W.","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine University of Kansas Medical Center Kansas City Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.36076\/ppj.2009\/12\/379"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2049463713479096"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2013.06.012"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofw191"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/PL00011954"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/jinf.2002.1013"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra055111"},{"key":"e_1_2_7_9_1","volume-title":"Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research","author":"Institute of Medicine","year":"2011"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnx262"},{"key":"e_1_2_7_11_1","first-page":"1341","article-title":"Spinal epidural abscess: a diagnostic challenge","volume":"65","author":"Chao D","year":"2002","journal-title":"Am Fam Physician"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.3171\/2014.6.FOCUS14127"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1533-2500.2008.00206.x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ner.12208"}],"container-title":["Pain Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpapr.12691","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papr.12691","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T06:28:38Z","timestamp":1694672918000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/papr.12691"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,19]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1111\/papr.12691"],"URL":"https:\/\/doi.org\/10.1111\/papr.12691","archive":["Portico"],"relation":{},"ISSN":["1530-7085","1533-2500"],"issn-type":[{"value":"1530-7085","type":"print"},{"value":"1533-2500","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,19]]},"assertion":[{"value":"2017-09-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-02-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}