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Epidural Spinal Infection in Intravenous Drug Abusers
Barbara S. Koppel, MD;
Alan J. Tuchman, MD;
John R. Mangiardi, MD;
Michael Daras, MD;
Imre Weitzner, MD
Arch Neurol. 1988;45(12):1331-1337.
Abstract
• The incidence of spinal epidural abscess and disk space infection appears to be rising in intravenous drug-using patients. We report 18 cases seen over three years in two municipal hospitals. Staphylococcus aureus was the most common infective agent, but two patients had Mycobacterium tuberculosis infection. Computed tomography of the spine facilitates diagnosis. Early treatment improves outcome but host factors play a role in recovery.
Author Affiliations
From the Departments of Neurology (Drs Koppel, Tuchman, and Daras), Neurosurgery (Dr Mangiardi), and Radiology (Dr Weitzner), New York Medical College, Valhalla.
Footnotes
Accepted for publication March 5, 1988.
Reprint requests to Metropolitan Hospital, Room 1301, 1901 First Ave, New York, NY 10029 (Dr Koppel).
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