Spontaneous Cervical Epidural Abscess Caused by Serratia Marcescens.

Sertbas I., Turan D., Karatay M. M.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, cilt.32, sa.12, 2022 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 12
  • Basım Tarihi: 2022
  • Doi Numarası: 10.29271/jcpsp.2022.supp0.ss151
  • Dergi Adı: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database
  • Anahtar Kelimeler: Cervical discitis, Serratia marcescens, Spinal epidural abscess, Vertebral osteomyelitis
  • İstanbul Yeni Yüzyıl Üniversitesi Adresli: Evet

Özet

Serratia marcescens infections are very rare and usually occur in the form of nosocomial and opportunistic infections. The subjects usually have severe medical comorbidities such as immunosuppression, diabetes mellitus, and renal failure. Spontaneous Serratia marcescens infection is very rare. In this case, we demonstrate that it can be seen in the spontaneous cervical epidural abscess. A 54-year female patient presented with a complaint of weakness in the left arm. Cervical magnetic resonance imaging revealed a spinal epidural abscess at the C5-6 level. Surgery was planned for this lesion. The abscess that created a cervical mass effect was totally removed and treatment with oral antibiotics was continued due to S. marcescens growth in the culture. This is the first case where S. marcescens has caused the development of a cervical epidural abscess in a patient without any medical comorbidity.