Nocardial epidural abscess of the thoracic spinal cord and review of the literature.
Nocardia is a potential cause of opportunistic infection in organ-transplant recipients. We report an epidural abscess causing acute paraparesis in a patient with a rejected renal transplant and chronic liver disease. Early drainage and treatment with imipenem and trimethoprim-sulfamethoxasole improved the patient's neurologic status.
Baskent University Department of Neurosurgery, Ankara, Turkey. basara@baskent-ank.edu.tr
Basar
B
Atalay
Ozlem
O
Azap
Melih
M
Cekinmez
Hakan
H
Caner
Mehmet
M
Haberal
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D020802:Epidural Abscess / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007275:Injections, Intravenous; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009617:Nocardia Infections / Q000175:diagnosis* / Q000188:drug therapy; D009616:Nocardia asteroides; D013116:Spinal Cord / Q000473:pathology*; D013904:Thoracic Vertebrae / Q000473:pathology*
D000900:Anti-Bacterial Agents