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ACEP Now: Vol 36 – No 01 – January 2017References
- Davis DP, Wold RM, Patel RJ, et al. The clinical presentation and impact of diagnostic delays on emergency department patients with spinal epidural abscess. J Emerg Med. 2004;26(3):285-291.
- Reihsaus E, Waldbaur H, Seeling W. Spinal epidural abscess: a meta-analysis of 915 patients. Neurosurg Rev. 2000;23(4):175-204.
- Davis DP, Salazar A, Chan TC, et al. Prospective evaluation of a clinical decision guideline to diagnose spinal epidural abscess in patients who present to the emergency department with spine pain. J Neurosurg Spine. 2011;14(6):765-770.
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One Response to “Low Back Pain Emergencies Could Signal Neurological Injuries”
March 1, 2020
Steven Shroyer MD FACEPNice review Dr Hellman. If I could add, more recent literature including the two your referenced by D Davis 2004 and 2011 warn not to wait for back pain and fever, since this will miss the majority of spinal infections. Both of these articles indicate only 24% (2004 JEM) and 7% (2011 JNS)of spinal infections had fever >= 100.4 degrees F. Also these two articles indicate 100% of spinal infections had one or more risk factors–much more sensitive than fever. Thanks for the article. Steve