We report the conservative treatment of a spinal epidural abscess (SEA) caused by escherichia coli and affecting the anterior epidural space from C2 to L4 in a diabetic, obese patient presenting with tetraparesis. The favourable clinical response to the administration of dexamethasone and antibiotics is described. We review the literature on non-surgical treatment of SEA with special regard to the use of corticosteroids.
Describimos el tratamiento conservador de un absceso epidural espinal (AEE) causado por escherichia coli y afectando el espacio epidural anterior desde C2 hasta L4 en una paciente diabética y obesa con tetraparesia. Se decribe la respuesta favorable al tratamiento con dexametasona y antibióticos. Revisamos la literatura sobre el tratamiento no quirúrgico de AEE con un especial énfasis en el uso de corticoesteroides.
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