Few cases have reported Clostridium
species of bacteria as a source for vertebral osteomyelitis and epidural abscesses. The subspecies of Clostridium septicum
has not been described as a cause. This case describes a 69-year-old man who hematogenously spread C. septicum
without associated malignancy, subsequently failed conservative management in the form of intravenous antibiotics, and was definitively treated with surgical intervention through a minimally invasive approach.
An epidural abscess occurring in a surgically naive patient is a rare phenomenon. An epidural abscess caused by C. septicum
is even rarer. Appropriate imaging, early recognition, and surgical debridement can lead to a favorable outcome.