Case ReportEpidural Abscess and Meningitis After Epidural Corticosteroid Injection
Section snippets
REPORT OF A CASE
A 70-year-old man developed acute left hip and thigh pain after sustained heavy lifting. His medical history was remarkable for a 2-year history of leukopenia, with an absolute neutrophil count of less than 1.0 × 109/L while taking hydroxychloroquine for treatment of inflammatory polyarthritis.
Three weeks after the onset of pain, an outpatient evaluation by his primary care physician identified tenderness overlying the left trochanteric bursa. Left trochanteric bursitis was diagnosed, and the
DISCUSSION
We reviewed the literature to identify predisposing epidemiological and clinical features of patients in whom epidural abscesses or meningitis developed after epidural corticosteroid injections. Our goal was to compare and contrast the findings in the reported cases with the clinical course of our patient. A MEDLINE and EMBASE literature search identified 11 reports of epidural abscess and 2 reports of epidural abscess and meningitis. Another report6 described 2 patients with meningitis
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