Anchovy Sauce Pus from Amoebic liver abscess | Figure 1

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Anchovy Sauce Pus from Amoebic liver abscess


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Sagittal T2 (left, image 1) and T1 post contrast MRI (right, image 1) of the thoracic and lumbar spine show a large epidural abscess (arrow). Diffusion weighted image (left, image 2) and ADC map (right, image 2) confirm abscess with presence of restricted diffusion. Spinal epidural abscesses are rare. Most cases are idiopathic. However, it can be associated with adjacent infection, diabetes, intravenous drug use, or iatrogenic causes. Patients may present with severe back pain, fever, and neurologic symptoms.

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