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| __NOTOC__ | | __NOTOC__ |
| {{Epidural abscess}} | | {{Epidural abscess}} |
| {{CMG}}; {{AE}} {{JS}} | | {{CMG}} {{AE}} {{JS}}; {{AG}} |
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| ==Overview== | | ==Overview== |
| An epidural abscess is a rare [[suppurative]] [[infection]] of the [[central nervous system]], a collection of [[pus]] localised in the [[epidural space]], lying outside the [[dura mater]], which accounts for less than 2% of focal [[CNS]] 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> It may occur in two different places: [[intracranial space|intracranially]] or in the [[spinal canal]]. Due to the fact that the initial symptoms and clinical characteristics are not always identical and are similar to other diseases, along with the fact that they are both rare conditions, the final [[diagnosis]] might be delayed in time. This late [[diagnosis]] comes at great cost to the patient, since it is usually accompanied by a bad [[prognosis]] and severe [[complications]], with a potential fatal outcome. According to the location of the collection, the [[abscess]] may have different origins, different organisms involved, symptoms, evolutions, complications and therapeutical techniques. <ref name="DannerHartman1987">{{cite journal|last1=Danner|first1=R. L.|last2=Hartman|first2=B. J.|title=Update of Spinal Epidural Abscess: 35 Cases and Review of the Literature|journal=Clinical Infectious Diseases|volume=9|issue=2|year=1987|pages=265–274|issn=1058-4838|doi=10.1093/clinids/9.2.265}}</ref> The treatment of [[epidural abscess]] focuses in two main aspects: reduction of the [[inflammatory]] mass and eradication of the responsible organism. These goals can be reached through a combination of [[medical]] and [[surgical]] approaches. An early [[surgical]] decompression and drainage, along with an aggressive [[antibiotic]] treatment is the ideal procedure to increase the chances of a better [[outcome]].
| | Secondary prevention strategies following epidural abscess include treatment and management of existing infection. |
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| ==Secondary Prevention== | | ==Secondary Prevention== |
| Attending to the concept of [[secondary prevention]], in which efforts are directed at reducing disease progression, avoiding emergence of [[symptoms]], in [[epidural abscess]], [[secondary prevention]] is related to the early [[diagnosis]] of the disease. It is of extreme importance that cases of [[sinusitis]], [[head injury|head]] and [[Spinal cord injury|spinal trauma]], [[neurosurgery]], local and proximal [[infectious]] processes are diagnosed early and treated promptly, in order to prevent the extension of the disease to the [[epidural space]].
| | Secondary prevention strategies following epidural abscess include: |
| | *Treatment of local and proximal [[infections]] |
| | *Close adherence to physician recommendations |
| | *Changing bandages |
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| ==References== | | ==References== |
| {{Reflist|2}} | | {{Reflist|2}} |
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| [[Category:Wikinfect]]
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| [[Category:Infectious disease]] | | [[Category:Infectious disease]] |
| [[Category:Disease]] | | [[Category:Disease]] |
| [[Category:Neurology]] | | [[Category:Neurology]] |
| [[Category:Primary care]] | | [[Category:Primary care]] |
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
Secondary prevention strategies following epidural abscess include treatment and management of existing infection.
Secondary Prevention
Secondary prevention strategies following epidural abscess include:
- Treatment of local and proximal infections
- Close adherence to physician recommendations
- Changing bandages
References