A case of extensive epidural abscess concomitant with intracranial involvement due to Staphylococcus aureus successfully treated with ceftriaxone in combination with linezolid and rifampin

Spinal epidural abscess (SEA) is an uncommon infection, and a neurological emergency that may leads to marked neurological dysfunction and devastating consequences. The typical clinical manifestations of SEA are the classic triad of back pain, neurological deficits, and fever [1]. The most common causative bacteria of SEA is Staphylococcus aureus. In general, management for SEA is surgical decompression and antibiotic therapy [1]. However, it remains controversial whether patients with an extensively spreading abscess should be treated by surgery or medicated by antibiotics alone 2.

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