Pneumorachis caused by metastatic gas gangrene.
Pneumorachis has previously been described only after spread from a contiguous site or after a traumatic event. Our patient experienced sepsis due to multiple enteric organisms, and gas was identified within the spinal canal on computed tomographic imaging. We present the 1st case of pneumorachis caused by disseminated infection.
Thompson
George R
GR
Division of Infectious Diseases, Department of Internal Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229-3900, USA. thompsong2@uthscsa.edu
Crawford
George E
GE
D000328:Adult; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology; D003013:Clostridium / Q000302:isolation & purification; D003015:Clostridium Infections / Q000097:blood / Q000382:microbiology / Q000473:pathology*; D017809:Fatal Outcome; D005738:Gas Gangrene / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology; D006801:Humans; D008297:Male; D003668:Pressure Ulcer / Q000150:complications; D011782:Quadriplegia; D013115:Spinal Canal / Q000000981:diagnostic imaging / Q000473:pathology; D013122:Spinal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology; D013290:Streptococcal Infections / Q000097:blood / Q000382:microbiology / Q000473:pathology*; D034366:Streptococcus anginosus / Q000302:isolation & purification; D013352:Subcutaneous Emphysema / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology; D035441:Thoracic Wall / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed