Spinal Epidural Abscess

To the Editor: In his review of spinal epidural abscess (Nov. 9 issue), 1 Darouiche does not mention brucella as an agent. In Spain, 2 Italy, and the Near East, 3 brucella is encountered frequently, and its treatment poses specific problems. To the Editor: In Darouiche's review of spinal epidur...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 356; no. 6; pp. 638 - 639
Main Author de Letona, J Martinez L
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 08.02.2007
Subjects
Brucella
Brucellosis
Epidural Abscess - microbiology
Humans
Spinal Diseases - microbiology
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Summary:To the Editor: In his review of spinal epidural abscess (Nov. 9 issue), 1 Darouiche does not mention brucella as an agent. In Spain, 2 Italy, and the Near East, 3 brucella is encountered frequently, and its treatment poses specific problems. To the Editor: In Darouiche's review of spinal epidural abscess, the algorithm on management (Figure 4 of the article) does not include immediate magnetic resonance imaging (MRI) or computed tomographic (CT) myelography. Immediate imaging with timely subsequent surgical decompression probably offers the optimal long-term outcome. Although improvement has been reported when decompression is performed within 72 hours, 1 in a single case series, . . .
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ObjectType-Commentary-2
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMc063456