{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T14:18:36Z","timestamp":1773929916567,"version":"3.50.1"},"reference-count":13,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nSpinal epidural abscesses are rare and are misdiagnosed in up to 75% of cases. Fever, back pain, and neurological deficits are part of the classical triad. Here, the authors report a patient with a L2\u2013L5 spinal epidural abscess with the left paravertebral extension attributed to acute pyelonephritis.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 54-year-old female presented with persistent low back pain and lower extremity weakness accompanied by paresthesias. Previously, she had been hospitalized with the left acute pyelonephritis. The lumbosacral MRI documented a T12\/L5 anterior epidural abscess with ring enhancement on the contrast study; the maximum diameter of the abscess at the L2\u2013L3 level contributed to severe cauda equina compression. She underwent a L2\/L4 decompressive laminectomy with drainage of the intraspinal\/extradural and paravertebral components. Intraoperative microbiological sampling grew Staphylococcus aureus<\/jats:italic> for which she then received targeted antibiotic therapy. Fifteen days later, she was walking adequately when discharged.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThoracolumbar epidural abscesses are rare. They must be considered among the differential diagnoses when patients present with acute back pain, fever, and new neurological deficits following prior treatment for acute pyelonephritis.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_260_2022","type":"journal-article","created":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T10:58:20Z","timestamp":1650625100000},"page":"159","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Spinal epidural abscess due to acute pyelonephritis"],"prefix":"10.25259","volume":"13","author":[{"given":"Gianluca","family":"Scalia","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Highly Specialized Hospital and of National Importance \u201cGaribaldi,\u201d Catania,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvatore","family":"Marrone","sequence":"additional","affiliation":[{"name":"Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Postgraduate Residency Program in Neurological Surgery, Neurosurgical Clinic, AOUP \u201cPaolo Giaccone,\u201d Palermo, Italy,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federica","family":"Paolini","sequence":"additional","affiliation":[{"name":"Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Postgraduate Residency Program in Neurological Surgery, Neurosurgical Clinic, AOUP \u201cPaolo Giaccone,\u201d Palermo, Italy,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Palmisciano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, UC Health, Cincinnati, Ohio, United States,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giancarlo","family":"Ponzo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Highly Specialized Hospital and of National Importance \u201cGaribaldi,\u201d Catania,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimiliano","family":"Giuffrida","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Highly Specialized Hospital and of National Importance \u201cGaribaldi,\u201d Catania,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Furnari","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Highly Specialized Hospital and of National Importance \u201cGaribaldi,\u201d Catania,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenico Gerardo","family":"Iacopino","sequence":"additional","affiliation":[{"name":"Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Postgraduate Residency Program in Neurological Surgery, Neurosurgical Clinic, AOUP \u201cPaolo Giaccone,\u201d Palermo, Italy,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni Federico","family":"Nicoletti","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Highly Specialized Hospital and of National Importance \u201cGaribaldi,\u201d Catania,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe Emmanuele","family":"Umana","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Cannizzaro Hospital, Trauma Center, Gamma Knife Center, Catania, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,4,22]]},"reference":[{"key":"10.25259\/SNI_260_2022\/ref-1","article-title":"Spinal epidural abscess","volume-title":"StatPearls","author":"Ameer","year":"2021"},{"key":"10.25259\/SNI_260_2022\/ref-2","doi-asserted-by":"crossref","first-page":"1614328","DOI":"10.1155\/2016\/1614328","article-title":"Spinal epidural abscess: A review with special emphasis on earlier 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