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  • Title: Development of epidural abscess following surgical drainage of perianal abscess: report of a case.
    Author: Ohana G, Salem L, Arich A, Powzner E.
    Journal: Dis Colon Rectum; 2004 Mar; 47(3):392-4. PubMed ID: 14991504.
    Abstract:
    PURPOSE: A case of epidural abscess originating from a perianal abscess is reported. METHODS: The history of the patient, erythrocyte sedimentation rate, magnetic resonance imaging, and bacteriological tests were used to reach a diagnosis and the possible mechanism. RESULTS: Epidural abscess was suspected because the patient had a fever and intense low back pain following drainage of a perianal abscess. Magnetic resonance imaging was used to correctly diagnose the epidural abscess and bacteriologic studies disclosed the pathophysiologic mechanism. CONCLUSIONS: Epidural abscess is an extremely rare complication of perianal abscess. It should always be suspected in a patient with acute onset of back pain, fever, history of recent infection, and an elevated erythrocyte sedimentation rate, because delay in diagnosis can cause neurologic compromise and even death.
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