{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T09:05:16Z","timestamp":1789290316392,"version":"build-2803163510"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"9","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction:\nSpinal epidural abscess (SEA) is an uncommon but potentially life-threatening complication that requires prompt recognition to prevent permanent neurological injury. Its occurrence after spinal anesthesia is particularly unusual and presents a diagnostic challenge because the initial symptoms may resemble expected post-operative pain.\n\nCase Report:\nWe describe the case of a 31-year-old woman who developed severe lower back pain and progressive lower limb weakness after undergoing spinal anesthesia for repeated debridement of necrotizing fasciitis in the presence of methicillin-sensitive Staphylococcus aureus bacteremia. Advanced spinal imaging demonstrated an extensive lumbar epidural infection associated with vertebral and paravertebral involvement, necessitating urgent surgical decompression. Operative findings confirmed a significant epidural purulent collection with widespread inflammatory tissue, and microbiological cultures were consistent with the bloodstream pathogen.\n\nConclusion:\nFollowing surgery and targeted antimicrobial therapy, the patient experienced marked improvement in pain, neurological function, and mobility. This case highlights the importance of maintaining a high index of suspicion for SEA in patients with persistent back pain and evolving neurological symptoms after neuraxial anesthesia, particularly when bacteremia is present. Early diagnosis and timely intervention are essential for achieving favorable clinical outcomes.\n\nKeywords:\nSpinal epidural abscess , spinal anesthesia , bacteremia , Methicillin-sensitive Staphylococcus aureus , laminectomy , spondylodiscitis , lumbar spine infection<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i09.8044","type":"journal-article","created":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T02:39:52Z","timestamp":1788662392000},"page":"228-232","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Spinal Epidural Abscess Following Spinal Anesthesia in a Bacteremic Patient: A Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"Mohammed Zoheb","family":"Iqbal","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Lautoka Hospital, Lautoka, Fiji"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Rokubuli","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Lautoka Hospital, Lautoka, Fiji"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reshwin","family":"Rajan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Lautoka Hospital, Lautoka, Fiji"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoa","family":"Valeniyasana","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Lautoka Hospital, Lautoka, Fiji"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:45:23Z","timestamp":1789289123000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/09\/spinal-epidural-abscess-following-spinal-anesthesia-in-a-bacteremic-patient-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i09.8044","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i09.8044","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}