Lumbosacral epidural abscess as a complication of post-injection phlegmon of the forearm. Case report.

We present the case of a 50-year-old male with lumbosacral epidural abscess as a distant iatrogenic sequella of a post-injection phlegmon of the forearm. The progressive and inconspicuous course of the illness, its complex clinical picture, neurologic manifestation in the form of cauda equina syndrome, and multidisciplinary approach to diagnosis and treatment in this patient make this case worthy of particular attention. We decided on a combined therapy consisting of surgery and pathogen-directed antibiotic treatment. Continuous follow-up confirmed therapeutic success and restoration of a normal neurologic status in this frequently fatal condition.