REBEL Core Cast 37.0 – Spinal Epidural Abscess

Take Home Points

• Spinal Epidural Abscess may present insidiously and patients often lack the classic triad of fever, back pain and neurologic symptoms
• Empiric Antibiotics should cover Staphylococcus (including MRSA) and Gram negative Bacilli
• All patients with clinical suspicion require rapid evaluation with MRI as the diagnostic study of choice
• Although not all patients will go to the operating room, surgical consult (Neurosurgery or Orthopedics) should be obtained emergently

REBEL Core Cast 37.0 – Spinal Epidural Abscess