Piomiositis de musculatura paravertebral en región L3-L4 + absceso epidural

  1. Selena Gala Aguilera-García 1
  2. Raquel de la Barreda-Heusser 1
  3. Lucía Romero-Acevedo 1
  4. Lucio Díaz-Flores-Varela 2
  5. Julio Plata-Bello 3
  6. Liberto Brage-Martín 3
  7. Francisco Medina-Romero 4
  8. Emilio González-Reimers 1
  1. 1 Servicio de Medicina Interna. Hospital Universitario De Canarias. La Laguna. Tenerife, Islas Canarias. España
  2. 2 Servicio de Resonancia Magnética. IMETISA. La Laguna. Tenerife, Islas Canarias. España
  3. 3 Servicio de Neurocirugía. Hospital Universitario De Canarias. La Laguna. Tenerife, Islas Canarias. España
  4. 4 Servicio de Medicina Nuclear. Hospital Universitario De Canarias. La Laguna. Tenerife, Islas Canarias. España
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Journal:
Majorensis: Revista Electrónica de Ciencia y Tecnología

ISSN: 1697-5529

Year of publication: 2015

Issue: 11

Pages: 1-4

Type: Article

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More publications in: Majorensis: Revista Electrónica de Ciencia y Tecnología

Abstract

Background Tropical pyomyositis is an uncommon bacterial infection of skeletal muscle typically caused by Staphylococcus aureus. Although initially restricted to tropical areas, in recent years it has been also described in temperate zones. Paraspinal pyomyositis associated with an epidural abscess has been rarely reported. Purpose We present a case of a 55-year-old man with a paraspinal (L3-L5) pyomyositis associated with an epidural abscess. Methods This 55-year-old man presented with a sudden onset of dysthermia and lumbar pain several days after having received antibiotics for a presumptive diagnosis of pyelonephritis. Clinical evaluation included several tests commented later Results: Spinal magnetic resonance imaging revealed affectation of the lumbar muscles and a small epidural abscess at about L3-L5. Surgical intervention showed markedly altered muscles and an epidural fibrous structure, compatible with an abscess that evolved to a fibrous scar. The patient remained asymptomatic at ambulatory follow-up. Conclusion: Despite its rarity, spinal muscle infection must always be considered when back pain is associated with clinical signs of sepsis, given the potential serious effects derived from a delayed diagnosis and treatment.

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