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발열과 요통을 동반한 혈액투석 환자에서 발견된 경막의 농양
송준창 ( Joon Chang Song ),김미경 ( Mee Kyoung Kim ),김윤정 ( Youn Jeong Kim ),김성용 ( Sung Yong Kim ),김영수 ( Young Soo Kim ),유혜영 ( Hye Young You ),양철우 ( Chul Woo Yang ),김용수 ( Yong Soo Kim ),방병기 ( Byung Kee Bang 대한신장학회 2003 Kidney Research and Clinical Practice Vol.22 No.2
Epidural abscess in hemodialysis patient is uncommon diseases, but it causes severe neruological complication if diagnois is delayed. In the clinical practice, because it is difficult to differentiate epidural abscess with simple back pain. Therefore, it is important to make early diagnosis and treatment of epidural abscess to prevent nuurological sequellae. We here report a case of epidural abscess with early diagnosis and successful treatment. A 54-year-old male patient was admitted to back pain and fever. Under the presumptive diagnosis of epidural abscess, MRI was perofrmed, and it revealed epidural abscess. Intravenous antibiotic treatment was started and drain of abscess was subsequently performed since back pain was persisted. He discharged without neurologic sequellae. Our case strongly suggests that epidural abscess should be considered in patients and early radiologic evaluation and treatment are mandatory to prevent neurological complication.