scholarly journals Cervical Spine Spondylitis with an Epidural Abscess in a Patient with Brucellosis: A Case Report

2019 ◽  
Vol 5 (3) ◽  
pp. 103-106
Author(s):  
Mohammad Reza Hasanjani Roushan ◽  
Soheil Ebrahimpour ◽  
Zeinab Mohseni Afshar ◽  
Arefeh Babazadeh
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Early Diagnosis ◽  
Unusual Case ◽  
Epidural Abscess ◽  
Systemic Infection ◽  
Human Brucellosis ◽  
Thoracic Vertebrae ◽  
Musculoskeletal Complaints ◽  
Endemic Region

Abstract Introduction Human brucellosis, the most prevalent zoonotic disease worldwide, is a systemic infection which can involve several organs. Among musculoskeletal complaints, spondylitis is the most frequent complication of brucellosis and primarily affects the lumbar and thoracic vertebrae. The involvement of the cervical spine is infrequent. Case report This case report concerns an unusual case of cervical spine spondylitis with an epidural abscess due to Brucella in a 43-year-old man. The diagnosis was based on the patient being domiciled in an endemic region, his symptoms and his occupation. Clinical outcomes improved following antimicrobial therapy of rifampin, doxycycline, and gentamycin, and were confirmed radiologically. Conclusion Early diagnosis and treatment are crucial for these patients. The timely commencement of medical treatment can help prevent surgery.

scholarly journals Cervical Spondylitis and Epidural Abscess Caused by Brucellosis: a Case Report and Literature Review

Folia Medica ◽  
2016 ◽  
Vol 58 (4) ◽  
pp. 289-292 ◽  
Author(s):  
Hatice Reşorlu ◽  
Suzan Saçar ◽  
Beşir Şahin Inceer ◽  
Ayla Akbal ◽  
Ferhat Gökmen ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Literature Review ◽  
Epidural Abscess ◽  
Rare Complication ◽  
Cervical Region ◽  
Thoracic Vertebrae ◽  
Systemic Involvement ◽  
Lower Back ◽  
Success Of Treatment

AbstractBrucellosis is a zoonotic disease widely seen in endemic regions and that can lead to systemic involvement. The musculoskeletal system is frequently affected, and the disease can exhibit clinical involvements such as arthritis, spondylitis, spondylodiscitis, osteomyelitis, tenosynovitis and bursitis. Spondylitis and spondylodiscitis, common complications of brucellosis, predominantly affect the lumbar and thoracic vertebrae.Epidural abscess may occur as a rare complication of spondylitis. Spinal brucellosis and development of epidural abscess in the cervical region are rare. Development of epidural abscess affects the duration and success of treatment. Spinal brucellosis should be considered in patients presenting with fever and lower back-neck pain in endemic regions, and treatment must be initiated with early diagnosis in order to prevent potential complications.

scholarly journals Diffuse leptomeningeal glioneuronal tumor with high-grade features masquerading as tubercular meningitis—a case report

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Sameer Peer ◽  
Vivek Murumkar ◽  
Karthik Kulanthaivelu ◽  
Chandrajit Prasad ◽  
Shilpa Rao ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Histopathological Examination ◽  
Glioneuronal Tumor ◽  
Communicating Hydrocephalus ◽  
High Grade ◽  
Endemic Region ◽  
Tubercular Meningitis ◽  
Leptomeningeal Enhancement ◽  
Diffuse Leptomeningeal Glioneuronal Tumor

Abstract Background Diffuse leptomeningeal glioneuronal tumor (DLGNT) has been recently described in the literature. The complete neuroimaging spectrum and histopathological characteristics of this entity are yet to be elucidated. In an endemic region, diffuse leptomeningeal enhancement on neuroimaging with associated communicating hydrocephalus is usually suggestive of infective meningitis and the patients are started on empirical anti-microbial therapy. However, it is important to consider other differential diagnosis of leptomeningeal enhancement in such cases, particularly if the clinical condition does not improve on anti-microbial therapy. An early diagnosis of a neoplastic etiology may be of particular importance as the treatment regimens vary considerably depending on the underlying disease condition. Case presentation In this case report, we describe a case of DLGNT with high-grade histopathological features which was initially managed as tubercular meningitis based on the initial neuroimaging findings. Due to worsening of the clinical course and subsequent imaging findings at follow-up, a diagnosis of DLGNT was considered and subsequently proven to be DLGNT with features of anaplasia on histopathological examination of leptomeningeal biopsy specimen. Conclusion This case highlights the importance of recognizing certain subtle finding on MRI which may help in an early diagnosis of DLGNT which is crucial for appropriate treatment.

An Unusual Case of Pelvic Appendicitis

PEDIATRICS ◽  
1976 ◽  
Vol 58 (2) ◽  
pp. 292-293
Author(s):  
Michael A. LaCombe
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Early Diagnosis ◽  
Unusual Case ◽  
Signs And Symptoms ◽  
Memorial Hospital ◽  
Pubic Bone ◽  
Bowel Habit ◽  
Gross Hematuria ◽  
Misleading Interpretation

The atypical signs and symptoms, the misleading interpretation of symptoms by the patient's family, and the remarkable radiograph in the following case emphasize the difficulty in early diagnosis of pelvic appendicitis. CASE REPORT A 10-year-old boy came to the Emergency Department of Community Memorial Hospital, Toms River, New Jersey, complaining of pain in the pubic bone of four hours' duration. His mother thought he might have fallen on the cross-bar of his bike and was concerned about a possible fracture of the pelvis. The boy denied any nausea, vomiting, anorexia, or change in bowel habit and had no pain elsewhere. He had noticed no gross hematuria.

scholarly journals Acute Purulent Discitis with Epidural Abscess of the Cervical Spine in an Adult —Case Report—

1994 ◽  
Vol 34 (6) ◽  
pp. 382-384 ◽  
Author(s):  
Shigeru FUJIWARA ◽  
Takato MORIOKA ◽  
Hideaki ISHIBASHI ◽  
Tosuke TAKAKI ◽  
Masashi FUKUI
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Epidural Abscess ◽  
Adult Case

scholarly journals Cervical Spine Epidural Abscess Caused by Brucellosis: A Case Report and Literature Review

2021 ◽  
Author(s):  
Misagh Shafizad ◽  
Saeid Ehteshami ◽  
Hamidreza Shojaei ◽  
Reza Jalili Khoshnoud
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Literature Review ◽  
Vertebral Body ◽  
Rare Case ◽  
Endemic Area ◽  
Epidural Abscess ◽  
Brucella Melitensis ◽  
Bacteriological Culture ◽  
Possible Cause

We report a rare case of cervical epidural abscess at the C5-C6 levels. The patient underwent surgery with complete abscess removal through C6 vertebral body corpectomy. The result of bacteriological culture was Brucella melitensis. Brucellosis must be considered as a possible cause of epidural abscess in patients from endemic area.

scholarly journals High cervical spine spondylodiscitis management and literature review

2017 ◽  
Vol 63 (1) ◽  
pp. 18-20 ◽  
Author(s):  
André Luis Sebben ◽  
◽  
Xavier Soler Graells ◽  
Marcel Luiz Benato ◽  
Pedro Grein Del Santoro ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Unusual Case ◽  
Epidural Abscess ◽  
Cord Compression ◽  
Neurological Deficits ◽  
Osteolytic Lesions ◽  
Double Approach ◽  
The Subject ◽  
High Cervical ◽  
Unusual Type

Summary Spondylodiscitis affecting the cervical spine is the most unusual type. Disease progression can be dramatic, even causing quadriplegia and death. We present an unusual case that progressed with osteolytic lesions between C2 and C3, causing cord compression and epidural abscess. The patient was treated surgically by a double approach and improved without neurological deficits and with better inflammatory markers. We reviewed the current literature on the subject.

scholarly journals Recurrence of uveal malignant melanoma: a case report

2013 ◽  
Vol 5 (2) ◽  
pp. 275-278
Author(s):  
Madhu Thapa ◽  
GB Shrestha ◽  
AK Sharma ◽  
S Karki ◽  
S Khanal
Keyword(s):  
Case Report ◽  
Adjuvant Chemotherapy ◽  
Malignant Melanoma ◽  
Early Diagnosis ◽  
Uveal Melanoma ◽  
Unusual Case ◽  
Uveal Tract ◽  
Uveal Malignant Melanoma ◽  
Ocular Morbidity

Background: Malignant melanoma of uveal tract is a rare ocular malignancy. It is one of the significant causes of ocular morbidity and mortality which is less commonly seen in children. Case: We report an unusual case of orbital recurrence of malignant melanoma in a 14-yearold boy who had previously undergone enucleation of the left painful blind eye 8 months ago. He was diagnosed to have uveal malignant melanoma elsewhere which was confirmed by histopathology. Orbital recurrence was managed with modified exenteration with adjuvant chemotherapy and radiotherapy. Conclusion: In all treated cases of uveal melanoma, close follow up examination and monitoring is necessary for early diagnosis of the recurrence and to plan for further management. Nepal J Ophthalmol 2013; 5(10): 275-278 DOI: http://dx.doi.org/10.3126/nepjoph.v5i2.8744

scholarly journals An Unusual Case of a Pharyngeal Fistula to the Cervical Spine Causing Osteomyelitis

2021 ◽  
pp. 014556132110297
Author(s):  
Kevin B. Harris ◽  
Achintya D. Singh ◽  
Brian B. Burkey ◽  
Amit Bhatt ◽  
John J. Vargo ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Cervical Spine ◽  
Mortality Rate ◽  
Early Diagnosis ◽  
Patient Outcomes ◽  
Total Laryngectomy ◽  
Unusual Case ◽  
Vertebral Osteomyelitis ◽  
Important Complication ◽  
Improve Patient

Significance Statement Pharyngeal fistulas to the cervical spine resulting in vertebral osteomyelitis are a rare, yet clinically important, complication of total laryngectomy performed in conjunction with chemoradiotherapy or radiation therapy. This complication is likely underdiagnosed and can have a high mortality rate. It is very important that clinicians are aware of this complication as early diagnosis and management may improve patient outcomes.

An unusual presentation of Paget disease: pathological fracture of the odontoid

2008 ◽  
Vol 9 (4) ◽  
pp. 343-346 ◽  
Author(s):  
Umayal G. Sawardekar ◽  
Surya Prakash Rao Nadimpalli ◽  
Elliot Weisenberg ◽  
Leonard Kranzler
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Unusual Case ◽  
Pathological Fracture ◽  
Important Application ◽  
Unusual Presentation ◽  
Common Disease ◽  
Paget Disease ◽  
Radiological Features ◽  
Uncommon Location

Paget disease of the cervical spine is a common disease in an uncommon location. The authors present an unusual case of a 58-year-old woman with a pathological fracture through the base of the odontoid vertebra secondary to Paget disease. The purpose of this case report is to describe the radiological features of Paget disease and their important application to treatment management.

scholarly journals Spinal abscess in a patient with undiagnosed gerbode defect: a case report

2021 ◽  
Author(s):  
Y W Liao ◽  
B Ensam ◽  
A Kodamanchile ◽  
S Duckett
Keyword(s):  
Epidural Abscess ◽  
Systemic Infection ◽  
Cardiac Complications ◽  
Thoracic Vertebrae ◽  
Cardiac Defect ◽  
Acute Setting ◽  
Conduction Disorders ◽  
Case Summary ◽  
High Clinical Suspicion ◽  
Gerbode Defect

Abstract Background Gerbode defect is a rare cardiac defect in which an abnormal communication occurs between the left ventricle and right atrium. The aetiology is usually congenital but acquired defects can occur. Case summary We report on a 47-year-old male with atrioventricular block prior to decompression of an epidural abscess extending from the skull base to the seventh thoracic vertebrae. Following positive blood cultures for Staphylococcus Aureus, a transoesophageal echocardiogram performed revealed a small Gerbode defect with associated endocarditis. In our case, the defect was small and there was no evidence of heart failure, there was little guidance or literature available on how to best manage our patient. A multidisciplinary decision was taken to treat the endocarditis medically and to not close the defect in the acute setting. He recovered well and did not suffer any further cardiac complications. A repeat transthoracic echocardiogram did not reveal any evidence of endocarditis. Conclusion Gerbode defects are rare but have been known to increase the risk of developing endocarditis. It is important to have a high clinical suspicion of endocarditis in patients with evidence of conduction disorders and systemic infection.

Sign in / Sign up

Export Citation Format

Share Document