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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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CASE REPORT  


Europa Medicophysica 2000 June;35(2):85-90

language: English

Tetraplegia secondary to a cervical epidural abscess as a rare complication of infected hip prothesis. A case report

Nardozi C. *, Santilli V. *, Pilati C. *, Foti G. *, Iachetti M., Finucci S. **, Coco V. ***, Di Biagio C. °

Radiology Unit, CTO Hospital, ASL RM/C;
** Specialty in PM&R, Tor Vergata University, Rome;
*** Clinic for Orthopaedics, University of Catania;
° Specialty in PM&R, La Sapienza University, Rome;
* Spinal Cord Unit, Hospital CTO, Rome, Italy


FULL TEXT  


The treat­ment of an epi­du­ral ­abscess is gen­er­al­ly ­both sur­gi­cal and med­i­cal. In ­some ­patients, how­ev­er, ­there may be indi­ca­tions for an exclu­sive­ly phar­mac­o­log­i­cal ­approach. It is ­always nec­es­sary how­ev­er to mon­i­tor the clin­i­cal evo­lu­tion of the con­di­tion ­with the ­utmost ­care, and to ­ensure pos­sibil­ity of inter­ven­ing sur­gi­cal­ly as ­soon as the ­need aris­es. This ­paper ­describes a 72-­year-old ­male ­patient ­with pre­dis­pos­ing fac­tors, who devel­oped tet­ra­ple­gia ­from a cer­vi­cal epi­du­ral ­abscess sec­on­dary to hem­a­tog­e­nous bac­te­ri­al dif­fu­sion ­from an infect­ed hip replace­ment. The ­prompt acqui­si­tion of ­sound bac­te­ri­o­log­i­cal ­data, cou­pled ­with rig­or­ous sur­veil­lance of the ­patient’s clin­i­cal ­progress, con­sent­ed a med­i­cal ­approach to treat­ing ­this pathol­o­gy ­with ­good ther­a­peu­tic ­results.

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