Epidural abscess epidemiology and demographics: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Epidural abscess}} | {{Epidural abscess}} | ||
{{CMG}} | {{CMG}} {{AE}} {{JS}}; {{AG}} | ||
==Overview== | ==Overview== | ||
An epidural abscess is a rare suppurative [[infection]] of the [[central nervous system]], a collection of [[pus]] | An epidural abscess is a rare suppurative [[infection]] of the [[central nervous system]], a collection of [[pus]] localized in the [[epidural space]], lying outside the [[dura mater]], which accounts for less than 2% of focal [[central nervous system]] [[infections]].<ref>{{Cite book | last1 = Longo | first1 = Dan L. (Dan Louis) | title = Harrison's principles of internal medici | date = 2012 | publisher = McGraw-Hill | location = New York | isbn = 978-0-07-174889-6 | pages = }}</ref> Spinal epidural abscess is rare, accounting for 2.5 to 3 cases per 10,000 hospital admissions per year.<ref name="pmid10229519">{{cite journal |vauthors=Sampath P, Rigamonti D |title=Spinal epidural abscess: a review of epidemiology, diagnosis, and treatment |journal=J Spinal Disord |volume=12 |issue=2 |pages=89–93 |year=1999 |pmid=10229519 |doi= |url= |accessdate=2015-11-09}}</ref> Estimates of the incidence after central nerve block vary from 1 per 1,000 hospital admissions to 1 per 100,000 hospital admissions.<ref name="pmid16431882">{{cite journal |vauthors=Grewal S, Hocking G, Wildsmith JA |title=Epidural abscesses |journal=Br J Anaesth |volume=96 |issue=3 |pages=292–302 |year=2006 |pmid=16431882 |doi=10.1093/bja/ael006 |url= |accessdate=2015-11-09}}</ref> Prevalence is greatest between the fifth and seventh decades of life.<ref name="pmid3589332">{{cite journal |vauthors=Danner RL, Hartman BJ |title=Update on spinal epidural abscess: 35 cases and review of the literature |journal=Rev. Infect. Dis. |volume=9 |issue=2 |pages=265–74 |year=1987 |pmid=3589332 |doi= |url= |accessdate=2015-11-09}}</ref> | ||
==Epidemiology And Demographics== | ==Epidemiology And Demographics== | ||
===Intracranial Epidural Abscess=== | ===Intracranial Epidural Abscess=== | ||
Intracranial epidural abscess is the more rare type of epidural abscess, accounting for 1 out of 10 cases of the disease. However, it is the 3rd most common focal intracranial infection, following [[brain abscess]] and [[subdural empyema]]. Today it occurs most often following [[neurosurgery|neurosurgical]] procedures and in[[IV drug use|IV drug users]]. Approximately 2% of patients with [[sinusitis]] developed some kind intracranial epidural abscess as a complication.<ref name="pmid9818818">{{cite journal| author=Gallagher RM, Gross CW, Phillips CD| title=Suppurative intracranial complications of sinusitis. | journal=Laryngoscope | year= 1998 | volume= 108 | issue= 11 Pt 1 | pages= 1635-42 | pmid=9818818 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9818818 }} </ref> | |||
===Spinal Epidural Abscess=== | ===Spinal Epidural Abscess=== | ||
Spinal epidural abscess is the most common type of [[epidural abscess]]. Prevalence is greatest between the fifth and seventh decades of life with a male predominance of the disease.<ref name="pmid3589332">{{cite journal |vauthors=Danner RL, Hartman BJ |title=Update on spinal epidural abscess: 35 cases and review of the literature |journal=Rev. Infect. Dis. |volume=9 |issue=2 |pages=265–74 |year=1987 |pmid=3589332 |doi= |url= |accessdate=2015-11-09}}</ref><ref name="pmid1359381">{{cite journal| author=Darouiche RO, Hamill RJ, Greenberg SB, Weathers SW, Musher DM| title=Bacterial spinal epidural abscess. Review of 43 cases and literature survey. | journal=Medicine (Baltimore) | year= 1992 | volume= 71 | issue= 6 | pages= 369-85 | pmid=1359381 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1359381 }} </ref> Spinal epidural abscess is rare, accounting for 2.5 to 3 cases per 10,000 hospital admissions per year.<ref name="pmid10229519">{{cite journal |vauthors=Sampath P, Rigamonti D |title=Spinal epidural abscess: a review of epidemiology, diagnosis, and treatment |journal=J Spinal Disord |volume=12 |issue=2 |pages=89–93 |year=1999 |pmid=10229519 |doi= |url= |accessdate=2015-11-09}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Primary care]] | [[Category:Primary care]] | ||
Revision as of 21:05, 9 November 2015
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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
An epidural abscess is a rare suppurative infection of the central nervous system, a collection of pus localized in the epidural space, lying outside the dura mater, which accounts for less than 2% of focal central nervous system infections.[1] Spinal epidural abscess is rare, accounting for 2.5 to 3 cases per 10,000 hospital admissions per year.[2] Estimates of the incidence after central nerve block vary from 1 per 1,000 hospital admissions to 1 per 100,000 hospital admissions.[3] Prevalence is greatest between the fifth and seventh decades of life.[4]
Epidemiology And Demographics
Intracranial Epidural Abscess
Intracranial epidural abscess is the more rare type of epidural abscess, accounting for 1 out of 10 cases of the disease. However, it is the 3rd most common focal intracranial infection, following brain abscess and subdural empyema. Today it occurs most often following neurosurgical procedures and inIV drug users. Approximately 2% of patients with sinusitis developed some kind intracranial epidural abscess as a complication.[5]
Spinal Epidural Abscess
Spinal epidural abscess is the most common type of epidural abscess. Prevalence is greatest between the fifth and seventh decades of life with a male predominance of the disease.[4][6] Spinal epidural abscess is rare, accounting for 2.5 to 3 cases per 10,000 hospital admissions per year.[2]
References
- ↑ Longo, Dan L. (Dan Louis) (2012). Harrison's principles of internal medici. New York: McGraw-Hill. ISBN 978-0-07-174889-6.
- ↑ 2.0 2.1 Sampath P, Rigamonti D (1999). "Spinal epidural abscess: a review of epidemiology, diagnosis, and treatment". J Spinal Disord. 12 (2): 89–93. PMID 10229519.
|access-date=requires|url=(help) - ↑ Grewal S, Hocking G, Wildsmith JA (2006). "Epidural abscesses". Br J Anaesth. 96 (3): 292–302. doi:10.1093/bja/ael006. PMID 16431882.
|access-date=requires|url=(help) - ↑ 4.0 4.1 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.
|access-date=requires|url=(help) - ↑ Gallagher RM, Gross CW, Phillips CD (1998). "Suppurative intracranial complications of sinusitis". Laryngoscope. 108 (11 Pt 1): 1635–42. PMID 9818818.
- ↑ Darouiche RO, Hamill RJ, Greenberg SB, Weathers SW, Musher DM (1992). "Bacterial spinal epidural abscess. Review of 43 cases and literature survey". Medicine (Baltimore). 71 (6): 369–85. PMID 1359381.