• BMJ case reports · Apr 2019

    Case Reports

    Large paraspinal abscess as a complication of infliximab therapy in Crohn's disease.

    • Nishani Nithianandan, Michael J Loftus, Johnson Paul D R PDR Department of Infectious Diseases, Austin Health, Heidelberg, Victoria, Australia. , and Charles Patrick G P PGP Department of General Medicine, Austin Health, Heidelberg, Victoria, Australia. .
    • Department of General Medicine, Austin Health, Heidelberg, Victoria, Australia.
    • BMJ Case Rep. 2019 Apr 29; 12 (4).

    AbstractWe report a 36-year-old man who developed a large epidural and paraspinal abscess as a complication of infliximab therapy being used for underlying Crohn's disease. Cultures of the collection grew methicillin-susceptible Staphylococcus aureus, and treatment consisted of abscess drainage, prolonged intravenous and oral flucloxacillin and temporary withholding of his infliximab. While infection-related complications are well described with infliximab therapy, this is the first description of a large paraspinal abscess with epidural extension.© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

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