Intramedullary Spinal Cord Abscess

Neurosurgery ◽  
1990 ◽  
Vol 26 (1) ◽  
pp. 145-146 ◽  
Author(s):  
Barbara S. Koppel ◽  
Michael Daras ◽  
Kent R. Duffy

Abstract Viral myelitis and bacterial epidural infections are common in intravenous drug abusers, but primary infections of the spinal cord are extremely rare. We report a 50-year-old active intravenous drug user who developed tetraplegia from an intramedullary abscess caused by Pseudomonas cepacia. Despite neurosurgical drainage and appropriate antibiotic therapy, no improvement was seen. Earlier intervention and a high index of suspicion is required in patients with a history of intravenous drug abuse and spinal cord symptoms. (Neurosurgery 26:145-146, 1990)

2002 ◽  
Vol 06 (02) ◽  
pp. 127-130
Author(s):  
Osman Acar ◽  
Önder Güney ◽  
Yalçin Kocaoğullar

We report a rare case of intramedullary spinal cord abscess. The patient was operated on by surgical drainage and appropriate antibiotic therapy. Improvement was seen postoperatively. Significant changes in the presentation, management, and outcome in these more recent cases are emphasized.


2020 ◽  
Vol 82 ◽  
pp. 249-251
Author(s):  
Takayoshi Akimoto ◽  
Satoshi Hirose ◽  
Tomotaka Mizoguchi ◽  
Yuki Yokota ◽  
Makoto Hara ◽  
...  

2020 ◽  
pp. 247412642094658
Author(s):  
Pali P. Singh ◽  
Cason B. Robbins ◽  
Henry L. Feng ◽  
Durga S. Borkar ◽  
Sharon Fekrat

Purpose: This report describes the diagnosis of ocular toxocariasis presenting as endophthalmitis in an adult intravenous drug user. Methods: A case is reported. Results: Fundus imaging showed numerous white opacities obscuring the macula. Toxocara canis serology was reactive with an enzyme immunoassay titer of 1:2 (positive ≥ 1:32). Findings from bacterial and fungal cultures were negative, and vitrectomy cytology revealed no organisms. Postoperatively, serial optical coherence tomography imaging demonstrated a slight decrease in size of an intraretinal hyperreflective lesion in the macula. Conclusions: Owing to a variety of presentations, ocular toxocariasis can be challenging to diagnose. In a patient with a history of intravenous drug use where fungal and bacterial organisms are more common causes of endophthalmitis, it is important to have a wide differential of causative organisms, particularly in the context of negative culture results and a worsening clinical examination.


2009 ◽  
Vol 49 (6) ◽  
pp. 262-268 ◽  
Author(s):  
Noriaki KURITA ◽  
Yasuhisa SAKURAI ◽  
Makoto TANIGUCHI ◽  
Toru TERAO ◽  
Hiroshi TAKAHASHI ◽  
...  

2011 ◽  
Vol 2011 (may08 1) ◽  
pp. bcr1120103512-bcr1120103512 ◽  
Author(s):  
K. Higuchi ◽  
H. Ishihara ◽  
S. Okuda ◽  
F. Kanda

1992 ◽  
Vol 55 (3) ◽  
pp. 225-226 ◽  
Author(s):  
M E M. Carus ◽  
B Anciones ◽  
A Castro ◽  
M Lara ◽  
A Isla

1992 ◽  
Vol 38 (4) ◽  
pp. 287-290 ◽  
Author(s):  
Jonathan H. Erlich ◽  
Jeffery V. Rosenfeld ◽  
Andrew Fuller ◽  
Graham V. Brown ◽  
Jack Wodak ◽  
...  

1970 ◽  
Vol 4 (1) ◽  
pp. 179-183 ◽  
Author(s):  
A Manandhar ◽  
L Bajracharya

Background: Fungal endogenous endophthalmitis in a healthy individual without any predisposing factors is very uncommon. It can occur in intravenous drug abusers, where Aspergillus is more frequently isolated as the causative organism. Case: We treated an unusual case of culture-proven endogenous Aspergillus endophthalmitis who was immunocompetent and was not an intravenous drug user. The affected eye was successfully treated with repeated intravitreal, intracameral and intrastromal injections of amphotericin B and anterior chamber wash. Conclusion: Endogenous fungal endophthalmitis can occur in healthy individuals. DOI: http://dx.doi.org/10.3126/nepjoph.v4i1.5873 NEPJOPH 2012; 4(1): 179-183


Sign in / Sign up

Export Citation Format

Share Document