Spinal epidural abscess is a rare condition associated with high rates of morbidity and mortality. The preoperative neurologic stage is the most important predictor of the final neurologic outcome. We report a case involving a 30-year-old man with history of drug abuse, who presented with neck pain, motor weakness with sensory deficit, and fever. A ventral cervical epidural abscess was diagnosed via magnetic resonance imaging. The infection was controlled after the patient received male urgent surgical treatment, which included anterior cervical discectomy, partial corpectomy, and placement of an anterior cervical plate with tricortical allograft spinal fusion, followed by appropriate systemic antibiotic treatment. The outcomes for patients undergoing spinal epidural abscess improve when the patient receives early intervention and adequate treatment with antibiotics. The purpose of this case report is to direct the attention of medical staff to the importance of establishing early diagnosis and treatment in such cases.