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- A 36-year-old man presented with a large epidural collection, shown on MRI to extend from C1-S5 and resulting in spinal canal narrowing (Figures 1-3). The patient was admitted for acute inpatient rehabilitation after neurosurgical treatment and stabilization s/p C7-T1, T7-8, L4-5 laminectomies.
- He presented with impaired mobility and activities of daily living, and reported moderate pain in the back and lower extremities, but without specific distribution, during PT/OT therapies.
- Throughout his 7-day length of stay, the patient was closely monitored for methicillin-susceptible S. aureus bacteremia, and he received IV oxacillin and oral rifampin. Active medical problems included bright red blood per rectum with a likely diagnosis of hemorrhoids, DVT prophylaxis, newly diagnosed Type 2 DM, and urinary retention.
- The patient was switched from straight to intermittent catheter, but inability to void was complicated by urinary tract infection (UTI). Voiding improved after UTI treatment with macrobid antibiotic.
Acute Rehabilitation of Spinal Epidural Abscess Following Triple Laminectomy, A Case Report, Rehabilitation, Orthopedics, Thomas Jefferson University
Dahlben, MS, B. A. and Fleischmann, MD, D., "Acute Rehabilitation of Spinal Epidural Abscess Following Triple Laminectomy: A Case Report" (2016). Rehabilitation Medicine Posters. 2.