Spinal epidural abscess (SEA) caused by Escherichia coli is an uncommon condition. It usually occurs secondary to urinary tract infection (UTI), following hematogenous propagation. Disruption of spinal anatomic barriers increases susceptibility to SEA. Although rarely, such disruption can take the form of lumbar spine stress fractures, which can result from even innocuous activity. Here, we describe a case of SEA secondary to UTI in a patient with pre-existing stress fractures of the lumbar spine, following use of an automated massage chair. Successful treatment of SEA consisted of surgical debridement and a six-month course of antibiotic therapy.

Citations

• Spinal epidural abscess post-ureteroscopy: a case report
  Stephanie N. Washington, David D. Kim, Luke F. Reynolds
  BMC Urology.2025;[Epub]     CrossRef
• Acute Paraplegia Caused by Spinal Epidural Empyema Following Infectious Cellulitis of the Hand: Case Report and Literature Review
  Breno Nery, Cláudio Brandão Filho, Lucas Nunes, Eduardo Quaggio, Fred Bernardes Filho, Joaquim Alencar Neto, Layssa Rhossana Melo, Anna Carolyne Oliveira, Rafael Rabello, Victoria Rodrigues Durand, Rayssa Rocha Silva, Rafael Emmanuel Costa, José Alencar S
  Journal of Neurological Surgery Reports.2024; 85(02): e29.     CrossRef

Background
: Recently, childhood obesity has been increasing steeply. many obese children have complications and high risks to become obese as adults. Therefore, we performed this study to assess childhood obesity in Kwangju area.

Methods : We examined 11,039 children (boys: 5,547, girls: 5,492) of ages 6-12 years. We defined obesity as more than 97th percentile of weight at each height. We also examined the degree of obesity by comparing with standard weight, which is defined as more than 20% above the standard weight for height. We identified four groups according to the degree of obesity. The ranges for each group was as follows : obesity at from 20% above the standard weight for height, mild obesity at 30% below and 20% above the standard weight for height, and moderate obesity at 50% below and 30% above the standard weight for height, and severe obesity at 50% above the standard weight for height.

Results : The prevalence of obesity that exceeded the weight centiles at each height by more than 97th percentile was 12.17%. The prevalence of obesity that exceeded the standard weight for height by more than 20% was 13.31%. Among them, 8.02% were mild obesity, 4.44% were moderate obesity and 0.84% were severe obesity.

Conclusion : Recently, the frequency of childhood obesity goes high in our society. We now know that obesity is a risk factor for some diseases, and therefore, more effective approaches should be developed treat and prevent childhood obesity.