Severe Actinomyces israelii infection involving the entire spinal cord.
A case of severe spinal infection with Actinomyces israelii is presented. A 38-y-old male was admitted with symptoms of infection and neurological symptoms. Magnetic resonance imaging showed extensive affection involving the entire spinal cord. Cultures of the cerebrospinal fluid revealed Actinomyces israelii. The patient was treated with long term penicillin G followed by amoxicillin. The patient recovered with severe neurological sequelae.
Gaïni
Shahin
S
Department of Infectious Diseases, Odense University Hospital, Odense, Denmark. shahin.gaini@ouh.fyns-amt.dk
Røge
Birgit Thorup
BT
Pedersen
Court
C
Pedersen
Svend Stenvang
SS
Brenøe
Anne-Sofie
AS
D000190:Actinomyces / Q000302:isolation & purification*; D000196:Actinomycosis / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000503:physiopathology; D000328:Adult; D002555:Cerebrospinal Fluid / Q000382:microbiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012720:Severity of Illness Index; D013116:Spinal Cord / Q000382:microbiology*; D013118:Spinal Cord Diseases / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed