Fatal epidural abscess from diabetic foot disease.

Approximately 10% of patients with diabetes will develop a foot ulcer in their lifetime. Spondylodiscitis (incorporating vertebral osteomyelitis, spondylitis and discitis) is a rare condition and diabetes is the most common predisposing risk factor. Spondylodiscitis often presents with no other symptom other than back pain. Neurological or infective symptoms can be present or absent. High clinical suspicion in clinicians is imperative in ensuring timely diagnosis and early intervention to minimise devastating consequences.