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What is the initial treatment for spinal epidural abscess with evidence of spinal cord compression?
{{c1::Urgent empirical antibiotics + emergency decompression (e.g. laminectomy)::2}}
{{c1::Urgent empirical antibiotics + emergency decompression (e.g. laminectomy)::2}}
Text
What is the <em>initial treatment</em> for <b>spinal epidural abscess</b> with evidence of spinal cord compression?<br><br>{{c1::Urgent empirical antibiotics + emergency decompression (e.g. laminectomy)::2}}
Extra
Flucloxacillin
PLUS
Vancomycin
PLUS EITHER
Ceftriaxone OR Cefotaxime
Prioritise administration of flucloxacillin and either ceftriaxone or cefotaxime, because vancomycin requires slow infusion.
Empiric antibiotics are used until a microbiological diagnosis is made
- SEA is a neurologic emergency that requires antibiotic therapy and emergency surgical decompression:
- Emergency decompression via laminectomy and drainage of the fluid collection
- NO STEROIDS
Extra
<div><div><div><b>Flucloxacillin</b><br></div><div><div><div>PLUS</div><div><b>Vancomycin</b></div><div>PLUS EITHER</div><div><b>Ceftriaxone</b> OR <b>Cefotaxime</b></div></div><br><div>Prioritise administration of flucloxacillin and either ceftriaxone or cefotaxime, because vancomycin requires slow infusion.</div></div><br><div>Empiric antibiotics are used until a microbiological diagnosis is made</div></div><br><div>- SEA is a neurologic emergency that requires <i>antibiotic therapy</i> and <i>emergency surgical decompression</i>:</div><div>- Emergency decompression via laminectomy and drainage of the fluid collection<br></div><div>- <i>NO STEROIDS</i></div></div><div></div>
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Pathoma
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Boards and Beyond
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First Aid
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Sketchy
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Picmonic
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Bootcamp
<a href="https://app.bootcamp.com/med-school/musculoskeletal/videos/spine?index=14">Watch associated Bootcamp video - Spinal Epidural Abscess</a>
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#AK_Step1_v12::#Bootcamp::Musculoskeletal::07_Spine::07_Spinal_Epidural_Abscess
#AK_Step2_v12::#B&B::09_Musculoskeletal::01_General_Topics::09_Low_Back_Pain
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#AK_Step2_v12::#Subjects::Neurology::05_Spinal_Cord::Back_Pain::Spinal_Epidural_Cord_Compression
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