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February 1985

Kerosene-Induced Epidural Abscesses

Author Affiliations

Tel-Hashomer, Israel

Arch Intern Med. 1985;145(2):371. doi:10.1001/archinte.1985.00360020215052

To the Editor.  —Spinal epidural abscess is usually caused by pyogenic bacteria or mycobacteria. We describe a case of sterile epidural abscess caused by local kerosene injection.

Report of a Case.  —A 22-year-old woman was referred to our medical center for a sudden onset of weakness of both legs. The paraparesis appeared while the patient was receiving antibacterial and surgical therapy for superficial skin abscesses.On admission, her temperature was 39 °C, and her WBC count was 23,000/cu mm, with 30% bands. Paraplegia of both legs and sensory loss below D-8 were noted. She had several incisions in abscess sites that were healing. Myelography disclosed a complete blockage at D-12. During the operation, a large suppurative process was found occupying the subcutaneous tissues, the facial planes, the muscles, and the epidural space between D-10 and L-2.Laminectomy was performed. Gram's, acid-fast, and india ink stains were all negative. Antistaphylococcal and