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{
    "pk": 368,
    "title": "Spinal Epidural Abscess Complicated by Meningitis, Sepsis and Thrombocytopenia in a Patient Lacking Traditional Risk Factors",
    "subtitle": null,
    "abstract": "Spinal epidural abscess is a rare diagnosis with a classic triad of fever, spinal pain and neurologicdeficits. Only a small proportion of patients have all three findings, making the diagnosis challenging.Here we present a case of cervical and thoracic spinal epidural abscess complicated by meningitis,sepsis and thrombocytopenia in a patient lacking traditional risk factors. The patient was initiallytreated non-operatively secondary to thrombocytopenia but subsequently required transfer to atertiary care facility for surgical drainage after clinical deterioration. This case report highlights theneed for a high index of suspicion and low threshold for imaging when considering this rare butpotentially deadly condition.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0b50c7ms",
    "frozenauthors": [
        {
            "first_name": "Christian",
            "middle_name": "",
            "last_name": "Spano",
            "name_suffix": "",
            "institution": "Orange Regional Medical Center",
            "department": "None"
        },
        {
            "first_name": "Michael",
            "middle_name": "",
            "last_name": "Ward",
            "name_suffix": "",
            "institution": "Touro College of Osteopathic Medicine",
            "department": "None"
        },
        {
            "first_name": "Nicole",
            "middle_name": "",
            "last_name": "Zagelbaum",
            "name_suffix": "",
            "institution": "Touro College of Osteopathic Medicine",
            "department": "None"
        }
    ],
    "date_submitted": "2017-03-14T21:17:55Z",
    "date_accepted": "2017-03-14T21:17:55Z",
    "date_published": "2017-03-15T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/368/galley/134/download/"
        }
    ]
}