Low-grade spinal epidural infection. Report of a case.

: A case of spinal epidural sepsis with an unusually indolent course is reported. Four months elapsed between onset of symptoms and initiation of treatment. Magnetic resonance imaging findings were atypical, with a gadolinium-enhanced hyposignal on T1 images but no hypersignal on T2 images. The difficulty of the diagnosis is illustrated by a review of the recent medical literature.