Eikenella corrodens cervical spinal epidural abscess induced by a fish bone.
Cervical spinal epidural abscess, caused by fish bone injury and a secondary infection by Eikenella corrodens which is part of the normal flora, has not been reported. A 72-yr-old man came to the hospital with pain in his posterior neck and both shoulders for 2 months. He also was experiencing weakness on his right side for 3 days. A fish bone had been stuck in his throat for about 2 months. Neurological examination revealed right hemiparesis, hypesthesia on the left extremities and neck stiffness. Laboratory findings showed an elevated ESR/CRP and leukocytosis, and magnetic resonance imaging revealed a retropharyngeal abscess and cervical myelitis. The patient was treated with emergency surgical decompression and antibiotics. A fish bone was removed from the C3-C4 intervertebral disc space. In the culture of chocolate blood agar and 5% sheep blood agar plate, E. corrodens was detected as a causative organism.
Jeon
Seong-Ho
SH
Department of Neurology, Gachon University of Medicine and Science, Gil Medical Center, 1198 Guwol-dong, Namdong-gu, Incheon, Korea.
Han
Dong-Chul
DC
Lee
Sang-Gu
SG
Park
Hyeon-Mi
HM
Shin
Dong-Jin
DJ
Lee
Yeong-Bae
YB
D000368:Aged; D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001842:Bone and Bones; D019299:Decompression, Surgical; D016124:Eikenella corrodens / Q000302:isolation & purification*; D020802:Epidural Abscess / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D005399:Fishes; D005502:Food / Q000009:adverse effects*; D005547:Foreign Bodies / Q000150:complications* / Q000601:surgery*; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D008297:Male
D000900:Anti-Bacterial Agents