ACUTE FEBRILE ILLNESS PRESENTING AS DIABETIC KETOACIDOSIS AND DEEP VEIN THROMBOSIS FINALLY DIAGNOSED AS CERVICOTHORACIC SPINAL EPIDURAL ABSCESS: CASE REPORT AND REVIEW OF LITERATURE

Dr. Parul Gupta, Dr. Paul Sudhakar John B

Abstract


Classically, diagnosis of spinal epidural abscess can be made when the triad of symptoms of backache,
fever and neurological deterioration are present. But often, presentations can be varied. In this case, a 50
year old male presented with diabetic ketoacidosis and fever , who did not have the conventional symptoms and was
subsequently diagnosed with cervicothoracic spinal epidural abscess measuring 17 cm in length after neurological
deterioration and was managed by decompressive laminectomy and antibiotics. Expeditious diagnosis and suitable treatment
strategies are the need of the hour for preventing lifelong neurological decits in the patients.


Keywords


Diagnosis, Laminectomy,spinal epidural abscess

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References


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