Abstract
Spinal epidural abscess (SEA) due to Streptococcus pneumoniae is rare and has never been reported in an HIV-infected patient, despite the higher risk of invasive disease in this group. We describe here the first case of pneumococcal epidural abscess, presenting with fever and back pain in a 60-year-old man infected with HIV. Blood cultures were positive for S. pneumoniae and magnetic resonance imaging (MRI) confirmed the suspicion of diskitis and SEA at the L4-S1 level. The patient was successfully treated with iv cefriaxone without surgical intervention. The clinical characteristics of this case are compared with existing literature on pneumococcal SEA.
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Received: September 7, 2000 · Revision accepted: June 1, 2001
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Younus, F., Jiminez, V. Spinal Epidural Abscess Due to Streptococcus pneumoniae in an HIV-Infected Adult. Infection 29, 234–236 (2001). https://doi.org/10.1007/s15010-001-1156-0
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DOI: https://doi.org/10.1007/s15010-001-1156-0