• A Villarejo-Galende, A Camacho-Salas, M Penas-Prado, R Juntas-Morales, J Gonzalez-de la Aleja, A Ramos, and A Rodríguez-Vallejo.
• Servicio de Nuerología, Hospital Universitario Doce de Octubre, Madrid, España. avgalende@yahoo.es
• Rev Neurol. 2003 Jun 16;36(12):1152-5.

IntroductionSpinal epidural abscess is a rare entity requiring early diagnosis and treatment. Sepsis is a factor with an unfavourable prognosis.Case ReportWe report the case of a 57 year old female with acute low back pain who was admitted to hospital suffering from a state of septic shock and multiple organ failure secondary to an infection disseminated by Staphylococcus aureus, which was treated early on with vancomycin. The probable source of infection was assumed to be necrotizing fasciitis of the left arm. Once the acute phase had been overcome, serious paraparesis became apparent and this led to magnetic resonance imaging of the spine being carried out, the results of which showed the existence of a lumbar spondylodiscitis with associated epidural abscess.ConclusionIn patients with sepsis and some previous symptom that arouses suspicion, it is important to consider this possible diagnosis, since treatment with antibiotics alone does not manage to prevent neurological complications in all cases.

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