Cervical Spinal Epidural Abscess From Haemophilus influenzae in an Adult: A Case Report
2024

Cervical Spinal Epidural Abscess from Haemophilus influenzae in an Adult: A Case Report

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Qiao Luxi, Choi April, Jung Julianna

Primary Institution: Johns Hopkins University School of Medicine

Hypothesis

This report aims to present the first reported case of spinal epidural abscess from H. influenzae and increase awareness of this atypical presentation.

Conclusion

The case highlights the need for physicians to recognize spinal epidural abscess as an invasive presentation of H. influenzae infection.

Supporting Evidence

  • The patient presented with neck pain and fever, which are common symptoms of spinal infections.
  • Initial misdiagnosis included viral sinusitis before the correct diagnosis of SEA was made.
  • Blood cultures confirmed H. influenzae as the causative organism after the patient was treated with antibiotics.

Takeaway

A 74-year-old woman had a rare infection in her spine caused by a germ called H. influenzae, which was hard to diagnose at first but was treated successfully.

Methodology

The case was diagnosed through clinical evaluation, imaging studies including CT and MRI, and laboratory tests including blood cultures.

Limitations

The case is based on a single patient, limiting generalizability.

Participant Demographics

74-year-old female with a history of diabetes and hypertension.

Digital Object Identifier (DOI)

10.7759/cureus.74946

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