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Thoracic Epidural Abscess

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Neurosurgery

Abstract

M79, RH, only PMH of HTN and high cholesterol, active and independent, lives with wife, presents with 2w hx worsening back pain, malaise, loss of appetite and weight, night sweats and low grade pyrexia, o/e mid thoracic myelopathy expressed with spastic weakness of LL MRC grading 4/5 and T6 sensory level

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Abbreviations

Abx:

Antibiotics

CRP:

C reactive protein

CT CAP:

Computed tomography chest abdomen and pelvis

ECHO:

Echocardiogram

Gram +:

Gram positive bacteria

Hx:

History

IV:

Intra venous

LL:

Lower limb

MSCC:

Metastatic spinal cord compression

MRC grading:

Medical research council muscle grading

MRI:

Magnetic resonance imaging

OPG:

Orthopantomogram

PICC line:

Peripherally inserted central catheter

PT:

Physiotherapy

QDS:

Four times daily

T3–6:

Third to sixth thoracic vertebrae

TB:

Tuberculosis

w:

Weeks

WBC:

White blood cell count

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Tolias, C.M., Giamouriadis, A., Hogg, F.R.A., Ghimire, P. (2019). Thoracic Epidural Abscess. In: Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-98234-2_42

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  • DOI: https://doi.org/10.1007/978-3-319-98234-2_42

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98233-5

  • Online ISBN: 978-3-319-98234-2

  • eBook Packages: MedicineMedicine (R0)

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