Spinal Epidural Abscess Caused by Gardnerella vaginalis and Prevotella amnii.

We report a case of spinal epidural abscess in a 58-year-old woman who had recently been diagnosed with gonococcal infection, but did not receive guideline-recommended therapy. She presented with back pain as well as signs and symptoms of pelvic inflammatory disease (PID). Magnetic resonance imaging of the spine demonstrated epidural abscess extending from T10 to L4/L5. She underwent T10/L1 and L3/L4 laminectomies for evacuation of the abscess and Gardnerella vaginalis and Prevotella amnii were isolated from the abscess fluid cultures. Our case demonstrates spinal epidural abscess as a rare, but morbid complication of PID and highlights the pathogenic potential of the anaerobic flora associated with PID. Copyright (C) 2017 Wolters Kluwer Health, Inc. All rights reserved.

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