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Volume 356:638-639 February 8, 2007 Number 6
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Spinal Epidural Abscess

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by Darouiche, R. O.
To the Editor: In his review of spinal epidural abscess (Nov. 9 issue),1 Darouiche does not mention brucella as an agent. In Spain,2 Italy, and the Near East,3 brucella is encountered frequently, and its treatment poses specific problems.


J. Martinez L. de Letona, M.D.
Universidad Autónoma de Madrid
28035 Madrid, Spain
juan.martinez@uam.es

  1. Darouiche RO. Spinal epidural abscess. N Engl J Med 2006;355:2012-2020. [Free Full Text]
  2. Solera J, Lozano E, Martinez-Alfaro E, et al. Brucellar spondylitis: review of 35 cases and literature survey. Clin Infect Dis 1999;29:1440-1449. [CrossRef][ISI][Medline]
  3. Alp E, Koc RK, Durak AC, et al. Doxycycline plus streptomycin versus ciprofloxacin plus rifampicin in spinal brucellosis. BMC Infect Dis 2006;6:72-81. [CrossRef][Medline]
 
To the Editor: In Darouiche's review of spinal epidural abscess, the algorithm on management (Figure 4 of the article) does not include immediate magnetic resonance imaging (MRI) or computed tomographic (CT) myelography. Immediate imaging with timely subsequent surgical decompression probably offers the optimal long-term outcome. Although improvement has . . . [Full Text of this Article]



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