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The goal of treatment is to cure the infection and reduce the risk of permanent neurologic damage. This is usually accomplished by a combination of antibiotics and surgery. In rare cases, antibiotics alone are used.
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Antibiotics are usually given intravenously for at least 4-6 weeks. However, they may be given for a longer time in some cases, depending on the type of bacteria and the extent of the disease.
Surgery is usually necessary to achieve drainage or removal of the abscess, because antibiotics alone have poor penetration into abscesses. In addition, surgery is often needed to reduce pressure on the spinal cord or brain in order to prevent further loss of neurological function.
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