{"id":"826c297a-64ac-4904-999e-14c4e6d30612","slug":"psoriasis-vulgaris-of-the-skin-caused-a-l3-l4-lumbar-epidural-spinal-abscess","title":"Psoriasis vulgaris of the skin caused a L3-L4 lumbar epidural spinal abscess","authors":["Natsuki Nakamura","Koshi Ninomiya","Masahiro Ishihara","Akihiro Yamamoto","Manabu Sasaki","Haruhiko Kishima"],"abstract":"Background: In a 31-year-old male, psoriasis vulgaris (PV) of the skin caused paraparesis attributed to a L3-L4 epidural spinal abscess that required emergent surgical decompression. Case Description: A 31-year-old male presented with lower back pain and cauda equina compression attributed to a magnetic resonance-documented L34 enhancing lesion consistent with a spinal epidural abscess (SEA). The skin over the L3-L4 level revealed severe PV that proved to be the likely etiology of the right-sided paraspinal muscle abscess, infected right L3-L4 facet joint, and SEA. At surgery, the foci of infection were excised/decompressed, and cultures grew methicillin-susceptible Staphylococcus aureus. Following surgery, the patient was improved and was treated with appropriate antibiotic therapy. Conclusion: PV caused a L3-L4 epidural spinal abscess and cauda equina compression in a 31-year-old male who was successfully treated with operative decompression and appropriate antibiotic management.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/826c297a-64ac-4904-999e-14c4e6d30612/featured/hero-1781559591328.png","publishDate":"2024-04-12T00:00:00.000Z","doi":"10.25259/SNI_88_2024","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2024/04/12857/SNI-15-125.pdf"}