• Infection · Aug 2001

    Case Reports

    Spinal epidural abscess due to Streptococcus pneumoniae in an HIV-infected adult.

    • F Younus and V Jimenez.
    • Dept. of Medicine, Franklin Square Hospital Center, Baltimore, MD 21237, USA. dryonus@hotmail.com
    • Infection. 2001 Aug 1; 29 (4): 234-6.

    AbstractSpinal 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 ceftriaxone without surgical intervention. The clinical characteristics of this case are compared with existing literature on pneumococcal SEA.

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