Annals of Tropical Medicine and Public Health
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CASE REPORT
Year : 2009  |  Volume : 2  |  Issue : 2  |  Page : 65-67

A rare case of spinal epidural abscess due to Mycobacterium tuberculosis in a 15-year-old girl


Department of Microbiology, Lokmanya Tilak Municipal Medical College General Hospital, Sion, Mumbai- 400002, India

Correspondence Address:
V P Baradkar
Department of Microbiology, L.T.M.M.C and L.T.M.G.H, Sion, Mumbai-400022,
India
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Source of Support: None, Conflict of Interest: None


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Clinical infection of spinal epidural space is a rare infectious disorder that often has delayed diagnosis and is associated with significant morbidity and mortality. Initial clinical presentation may be fever, low backache that is non- specific and may mimic urinary tract infection, malignancy, and neuralgia. Hence, a high index of suspicion is required to diagnose such cases. MRI and diagnostic aspiration is necessary so that the pathogen-directed therapy could be instituted to prevent mortality. Most reported cases occur in the age group of 40-60 years, with very few reported in younger age groups. Most commonest pathogen reported is Staphylococcus aureus, and only few cases due to Mycobacterium tuberculosis are reported. Here, we report a case of epidural abscess in a 15-year-old female caused by M. tuberculosis. The diagnosis was done by MRI scan and microbiological investigations on the aspirated pus. The patient was responding to combination therapy i.e. surgical drainage and chemotherapy when last follow-up was taken.


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