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Department of Neurosurgery, James Cook University Hospital, Marton Road, Middlesbrough, UK. s.metcalfe@doctors.org.uk
We present the case of a 62-year-old gentleman who presented with an epidural abscess and vertebral osteomyelitis secondary to a spontaneous rupture of the oesophagus. The causative organisms were Candida and Lactobacillus. This has not been recorded previously in the literature. Cases of vertebral osteomyelitis and epidural abscess secondary to oesophageal rupture are rare, and diagnosis is often delayed.
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