A Rare Case of Primary Spinal Epidural Abscess Caused by Streptococcus mitis in an Immunocompetent Adult With Incidentally Diagnosed Allergic Bronchopulmonary Aspergillosis
Bibliographic record
Abstract
Spinal epidural abscess (SEA) is a rare suppurative infection of the epidural space which can mechanically compress the spinal cord. Bacteria gain access to this space by hematogenous spread, direct extension, or direct inoculation into the spinal canal. SEA is almost always associated with risk factors, such as diabetes, human immunodeficiency virus (HIV), trauma, intravenous drug use, or spinal injections. The most commonly implicated organism is Staphylococcus aureus (73%), followed by coagulase-negative Staphylococcus and gram-negative organisms. We present a rare case of an immunocompetent woman with no risk factors found to have a primary spinal epidural abscess which grew Streptococcus mitis . To the best of our knowledge this is only the second such case in literature, with the first one being reported in 1995 in an adult man with hemophilia. Diagnosis is made by magnetic resonance imaging (MRI), and treatment is surgical decompression and antibiotics. Clin Infect Immun. 2019;4(1):12-15 doi: https://doi.org/10.14740/cii74
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".