An uncommon presentation of multiple spinal epidural abscesses: A case report

INTRODUCTION: Spinal epidural abscess (SEA) is a rare but severe infection occurring in the epidural space of the spinal cord, increasingly associated with invasive spinal procedures and intravenous drug use. Recognizing and accurately diagnosing SEA is crucial due to its potential neurological impact. PRESENTATION OF CASE: A 51-year-old male presented with urinary and bowel obstruction, right-sided hemiplegia, fever, and jaundice. Neurological examination revealed pronounced deficits, while imaging and cerebrospinal fluid analysis confirmed multiple epidural abscesses. Cultures identified Staphylococcus aureus sensitive to vancomycin and meropenem. DISCUSSION: The case underscores the variable presentations and nonspecific symptoms of SEA, highlighting the importance of an accurate medical history and timely imaging for diagnosis. Early intervention with surgical drainage and antibiotic therapy based on culture sensitivity is essential for improving outcomes. CONCLUSION: This case emphasizes the need for heightened awareness of SEA, particularly in patients with risk factors, to ensure prompt diagnosis and treatment to prevent irreversible neurological damage.