Epidural abscess history and symptoms: Difference between revisions

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{{Epidural abscess}}
{{Epidural abscess}}
{{CMG}}; {{AE}} {{JS}}
{{CMG}} {{AE}} {{JS}}; {{AG}}


==Overview==
==Overview==
==History and Symptoms==
A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include [[immunodeficiency]], [[intravenous drug use]], [[neurosurgery|spinal procedure]], and [[trauma]]. Common symptoms of intracranial epidural abscess include [[headache]], [[fever]], and [[vomiting]]. Common symptoms of spinal epidural abscess include [[back pain]], [[weakness]], and [[Paresthesia|persistent pins and needles]].
 
==History==
A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:<ref name="pmid11996416">{{cite journal |vauthors=Chao D, Nanda A |title=Spinal epidural abscess: a diagnostic challenge |journal=Am Fam Physician |volume=65 |issue=7 |pages=1341–6 |year=2002 |pmid=11996416 |doi= |url=http://www.aafp.org/link_out?pmid=11996416}}</ref>
*[[Immunodeficiency]]
*[[Diabetes mellitus]]
*[[Alcoholism]]
*[[Intravenous drug use]]
*[[neurosurgery|Spinal procedure]]
*[[Trauma]]
 
==Symptoms==
===Intracranial Epidural Abscess===
===Intracranial Epidural Abscess===
Patients with IEA usually complain of: <ref name="pmid15043336">{{cite journal| author=Fountas KN, Duwayri Y, Kapsalaki E, Dimopoulos VG, Johnston KW, Peppard SB et al.| title=Epidural intracranial abscess as a complication of frontal sinusitis: case report and review of the literature. | journal=South Med J | year= 2004 | volume= 97 | issue= 3 | pages= 279-82; quiz 283 | pmid=15043336 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15043336  }} </ref>
Common symptoms of intracranial epidural abscess include:<ref name="pmid15043336">{{cite journal| author=Fountas KN, Duwayri Y, Kapsalaki E, Dimopoulos VG, Johnston KW, Peppard SB et al.| title=Epidural intracranial abscess as a complication of frontal sinusitis: case report and review of the literature. | journal=South Med J | year= 2004 | volume= 97 | issue= 3 | pages= 279-82; quiz 283 | pmid=15043336 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15043336  }} </ref>
*Headache
*[[Headache]]
*Fever
*[[Fever]]
*Vomiting
*[[Vomiting]]
*Confusion
*[[Lethargy]]
*Seizures
*[[Confusion]]
*Hemiparesis
*[[Seizures]]
*Frontal swelling
*Partial [[Hemiparesis|paralysis]] of extremities
*[[Frontal bone|Frontal]] [[swelling]]
 
===Spinal Epidural Abscess===
===Spinal Epidural Abscess===
Generally, patients with spinal epidural abscess present with unspecific symptoms. Common symptoms of spinal epidural abscess include:<ref name="pmid3589332">{{cite journal| author=Danner RL, Hartman BJ| title=Update on spinal epidural abscess: 35 cases and review of the literature. | journal=Rev Infect Dis | year= 1987 | volume= 9 | issue= 2 | pages= 265-74 | pmid=3589332 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3589332  }} </ref><ref name="pmid3662166">{{cite journal| author=Mooney RP, Hockberger RS| title=Spinal epidural abscess: a rapidly progressive disease. | journal=Ann Emerg Med | year= 1987 | volume= 16 | issue= 10 | pages= 1168-70 | pmid=3662166 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3662166  }} </ref><ref name="pmid7819646">{{cite journal| author=Liem LK, Rigamonti D, Wolf AL, Robinson WL, Edwards CC, DiPatri A| title=Thoracic epidural abscess. | journal=J Spinal Disord | year= 1994 | volume= 7 | issue= 5 | pages= 449-54 | pmid=7819646 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7819646  }} </ref>
*[[Fever]]
*[[Headache]]
*Neurologic deficits
*[[Weakness]]
*[[Paresthesia|Persistent pins and needles]]
*[[Back pain]]
*[[Fever]]
*[[Back pain]]
*Focal [[vertebral]] pain
*[[Nerve root]] [[pain]]
*Inability to control [[bowels]]
*[[Malaise]]
*Aversion to bright light


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


[[Category:Wikinfect]]
[[Category:Infectious disease]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Neurology]]
[[Category:Neurology]]
[[Category:Primary care]]

Latest revision as of 21:36, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]; Anthony Gallo, B.S. [3]

Overview

A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include immunodeficiency, intravenous drug use, spinal procedure, and trauma. Common symptoms of intracranial epidural abscess include headache, fever, and vomiting. Common symptoms of spinal epidural abscess include back pain, weakness, and persistent pins and needles.

History

A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:[1]

Symptoms

Intracranial Epidural Abscess

Common symptoms of intracranial epidural abscess include:[2]

Spinal Epidural Abscess

Generally, patients with spinal epidural abscess present with unspecific symptoms. Common symptoms of spinal epidural abscess include:[3][4][5]

References

  1. ↑ Chao D, Nanda A (2002). "Spinal epidural abscess: a diagnostic challenge". Am Fam Physician. 65 (7): 1341–6. PMID 11996416.
  2. ↑ Fountas KN, Duwayri Y, Kapsalaki E, Dimopoulos VG, Johnston KW, Peppard SB; et al. (2004). "Epidural intracranial abscess as a complication of frontal sinusitis: case report and review of the literature". South Med J. 97 (3): 279–82, quiz 283. PMID 15043336.
  3. ↑ Danner RL, Hartman BJ (1987). "Update on spinal epidural abscess: 35 cases and review of the literature". Rev Infect Dis. 9 (2): 265–74. PMID 3589332.
  4. ↑ Mooney RP, Hockberger RS (1987). "Spinal epidural abscess: a rapidly progressive disease". Ann Emerg Med. 16 (10): 1168–70. PMID 3662166.
  5. ↑ Liem LK, Rigamonti D, Wolf AL, Robinson WL, Edwards CC, DiPatri A (1994). "Thoracic epidural abscess". J Spinal Disord. 7 (5): 449–54. PMID 7819646.
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