Epidural Abscess

Paul G. Auwaerter, M.D.

Epidural Abscess is a topic covered in the Johns Hopkins ABX Guide.

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PATHOGENS

S. aureus (most common)
Enterobacteriaceae
Streptococcal species
Pseudomonas aeruginosa
Mycobacterium tuberculosis
Brucella species
Post-neurosurgical procedure: S. aureus, coagulase-negative staphylococci, Gram-negative bacilli (including Pseudomonas), fungi
- 2012-2013: contaminated compounding pharmacy corticosteroid spinal injection
  - Predominantly Exserohilum spp. (see module for details)
  - Aspergillus
  - Other fungal species
Immunocompromised host (AIDS, steroids, transplants): Candida species, Cryptococcus neoformans, Nocardia spp., Mycobacterium tuberculosis and other mycobacteria (non-tubercular)
Foreign-born: M. tuberculosis

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PATHOGENS

S. aureus (most common)
Enterobacteriaceae
Streptococcal species
Pseudomonas aeruginosa
Mycobacterium tuberculosis
Brucella species
Post-neurosurgical procedure: S. aureus, coagulase-negative staphylococci, Gram-negative bacilli (including Pseudomonas), fungi
- 2012-2013: contaminated compounding pharmacy corticosteroid spinal injection
  - Predominantly Exserohilum spp. (see module for details)
  - Aspergillus
  - Other fungal species
Immunocompromised host (AIDS, steroids, transplants): Candida species, Cryptococcus neoformans, Nocardia spp., Mycobacterium tuberculosis and other mycobacteria (non-tubercular)
Foreign-born: M. tuberculosis

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