An 84-year-old woman was admitted to our hospital due to paraplegia. Her history included intermittent self-catheterization for a neurogenic bladder from the age of 71 years. Contrast-enhanced magnetic resonance imaging revealed a spinal epidural abscess (SEA) spanning the posterior thoracic and lumbar spine. Blood and urine cultures grew Escherichia coli (E. coli), and SEA development was hypothesized to be due to hematogenous spread of the etiological agent from a urinary tract infection (UTI). Although surgery was not performed, antimicrobial therapy led to abscess resolution but with residual neurological deficit. To the best of our knowledge, this is the first description of UTI, subsequent septicemia, and SEA development due to E. coli infection in a patient with a neurogenic bladder.

Login to Download PDF

Please login with your Paper ID and password to access the full PDF.

🔑 Login to Download