SPINAL EPIDURAL ABSCESS - OPTIMIZING PATIENT-CARE

被引:84
作者
MASLEN, DR
JONES, SR
CRISLIP, MA
BRACIS, R
DWORKIN, RJ
FLEMMING, JE
机构
[1] PROVIDENCE MED CTR, DEPT MED, PORTLAND, OR 97213 USA
[2] OREGON HLTH SCI UNIV, DEPT MED, PORTLAND, OR 97201 USA
关键词
D O I
10.1001/archinte.153.14.1713
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The medical literature regarding spinal epidural abscess has two common threads: reports of poor prognosis and appeals for rapid treatment. Spinal epidural abscess is a difficult diagnosis to make because of its rarity-many physicians will never see a case during their careers. Among all patients admitted to hospitals, the incidence is approximately one to two cases per 10 000. Only increased awareness and swift management of spinal epidural abscess will improve outcome. Our goal through this report is to enhance the recognition and treatment of spinal epidural abscess. We present 28 new cases of spinal epidural abscess, giving special attention to the peculiarities of the disease; we compile and analyze comprehenesive data from cases from literature; and finally, we present the results of 16 retrospective personal interviews of infected patients.
引用
收藏
页码:1713 / 1721
页数:9
相关论文
共 52 条
[2]   SPINAL EPIDURAL ABSCESS [J].
BAKER, AS ;
OJEMANN, RG ;
SWARTZ, MN ;
RICHARDSON, EP .
NEW ENGLAND JOURNAL OF MEDICINE, 1975, 293 (10) :463-468
[3]  
BERGMAN I, 1983, PEDIATRICS, V72, P476
[4]  
Browder J, 1941, SURGERY, V10, P296
[5]  
BURUMA OJ, 1979, NEUROL NEUROSURG, V81, P39
[6]   CHANGING CONCEPTS IN SPINAL EPIDURAL ABSCESS - A REPORT OF 29 CASES [J].
CURLING, OD ;
GOWER, DJ ;
MCWHORTER, JM .
NEUROSURGERY, 1990, 27 (02) :185-192
[7]  
DANNER RL, 1987, REV INFECT DIS, V9, P265
[8]   EARLY DIAGNOSTIC EVALUATION OF LOW-BACK-PAIN [J].
DEYO, RA .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1986, 1 (05) :328-338
[9]   SPINAL PERIPACHYMENINGITIS (EPIDURAL ABSCESS) - REPORT OF 8 CASES [J].
DUS, V .
JOURNAL OF NEUROSURGERY, 1960, 17 (06) :972-983
[10]   SPINAL EPIDURAL ABSCESS - AN UNUSUAL COMPLICATION OF BACTERIAL-ENDOCARDITIS [J].
ELIAN, D ;
HASSIN, D ;
TOMER, A ;
BANK, H ;
EISENSTEIN, Z .
INFECTION, 1984, 12 (04) :258-259