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An unusual cause of an epidural abscess

Sebastiaan J van Hal and Jeffrey J Post
Med J Aust 2004; 180 (1): 40-41.
Published online: 5 January 2004

A previously well 30-year-old man presented with severe progressive back pain, joint pain and fever. Magnetic resonance imaging confirmed an epidural abscess. A sexual history revealed both risk factors for and previous symptoms of a sexually acquired infection. Neisseria gonorrhoeae was isolated from a rectal swab and from a wrist aspirate, consistent with disseminated gonococcal infection. The epidural abscess resolved clinically and radiologically after treatment for N. gonorrhoeae with ceftriaxone.

  • Sebastiaan J van Hal1
  • Jeffrey J Post2

  • Department of Infectious Diseases, Prince of Wales Hospital, Sydney, NSW.

Correspondence: 

Acknowledgements: 

We would like to acknowledge Associate Professor John Tapsall, Athena Limnios and the Neisseria Reference Laboratory, Department of Microbiology, Prince of Wales Hospital, Randwick, NSW.

Competing interests:

None identified

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