[Spinal epidural abscess - a rare complication of Crohn´s disease: case report]

Vnitr Lek. 2019 Winter;65(11):712-714.
[Article in Czech]

Abstract

Spinal epidural abscess (SEA) is a rare disease that occurs mainly in immunocompromised patients after spinal surgery or spinal trauma and can lead to a severe neurological deficit or even death if diagnosed too late. However, cases of SEA have also been reported in patients with fistulising Crohn´s disease (CD). We present a case of a young patient with CD and a history of relapsing perianal disease followed by a complication of SEA in the thoracic spine. In close cooperation with the orthopedists and the neurologists, the gastroenterologists have successfully treated the SEA in this patient, allowing her to return back to biological treatment for CD.

Keywords: biological treatment; Crohn´s disease; perianal fistulas; spinal epidural abscess.

Publication types

  • Case Reports

MeSH terms

  • Crohn Disease / complications*
  • Epidural Abscess / etiology
  • Epidural Abscess / therapy*
  • Female
  • Humans
  • Rectal Fistula / etiology