Non-tuberculous long multi-segment spinal epidural abscess with co-existing giant psoas abscess in an intravenous drug abuser: A rare case report from India.

In developing countries, Mycobacterium tuberculosis is rampant and it's the first differential in causation of spinal epidural abscess (SEA) or Psoas abscess (PA). This microbiota pertaining to these diseases, is in contrast with that of developed nations, where it is primarily bacterial. The burden of intra-venous drug abusers is very high in India, however there is corresponding rarity of intravenous drug abuse (IVDA) related SEA/PA case studies. Even at global scale, there is no fixed recommendation in the surgical management (instrumentation and fusion) of IVDA-SEA subset of patients owing to their low volume and poor-follow-up. In this back-ground authors present their experience of managing an IVDA associated long segment multi-level SEA with giant PA who presented with ASIA Grade-C neurological deficit. [ABSTRACT FROM AUTHOR]