A 62-year-old woman suffered recurrent low back pain and sciatica for four months. Radiologically there was a narrowing of L5-S1 intervertebral space. After myelography, the patient was operated for suspecting a disk herniation. During the operation, it was evidenced an epidural abscess, which was cleared out and drained. Culture of the purulent material showed acid-fast bacilli; tuberculin test was positive. Therefore, therapy with streptomycin (1 gr/die) and perfloxacin (800 mg/die) was established for one month; then, ofloxacin (600 mg/die) and rifampin (900 mg/die) were administered for another fifteen months. After nine months of therapy, L5-S1 MRI showed the stabilization of the spondylitis, resulted in cicatrice, attesting the efficacy of the antibiotic therapy. Finally, we must point that the atypical clinical overture made impossible the true diagnosis at the beginning of the disease.
|Translated title of the contribution||Tuberculous epidural abscess: A description of a clinical case|
|Number of pages||5|
|Journal||Giornale di Malattie Infettive e Parassitarie|
|Publication status||Published - 1993|
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