RT Journal Article
T1 Spinal epidural abscess caused by Streptococcus agalactiae in an immunocompetent patient
A1 Vales Montero, Marta
A1 Mateo Sierra, Olga
A1 Romero Martínez, Julia
A1 Fortea Gil, Fernando
A1 Fernández Carballal, Carlos
A1 Cuello, Juan Pablo
AB Background: Streptococcus agalactiae is an uncommon microorganism that causes spinal epidural abscess (SEA) and usually affects individuals with a predisposing condition or potential source of infection.Case description: We present the case of an immunocompetent 53-year-old patient with an unremarkable past medical history who developed progressive low extremity weakness, bowel and bladder dysfunction and genital sensory impairment. A neurological exam on admission revealed flaccid proximal paraparesis, T10 sensory level, atonic anal sphincter and normal myotatic reflexes. Urgent neuroimaging showed a large thoracic epidural spinal abscess. Laminectomy and abscess drainage were immediately performed and systemic antibiotic treatment was initiated. Abscess cultures revealed Streptococcus agalactiae. After an exhaustive workup no predisposing factors or local or systemic source for the infection were found.Conclusions: We report a singular case of spinal epidural abscess caused by Streptococcus agalactiae in a healthy patient with no predisposing factors. This case also highlights the importance of an early diagnosis and treatment to obtain a better neurological outcome.
PB Elsevier
YR 2019
FD 2019-10-11
LK https://hdl.handle.net/20.500.14352/128397
UL https://hdl.handle.net/20.500.14352/128397
LA spa
NO Vales Montero M, Mateo Sierra O, Romero Martínez J, Fortea Gil F, Fernández Carballal C, Cuello JP. Spinal epidural abscess caused by Streptococcus agalactiae in an immunocompetent patient. Med Clin (Barc). 2019 Oct 11;153(7):290-292. English, Spanish. doi: 10.1016/j.medcli.2019.06.003. Epub 2019 Sep 3. PMID: 31492449
DS Docta Complutense
RD 19 dic 2025