title: Extensive infectious myelitis post bariatric surgery.
abstract: BACKGROUND
  Inflammatory myelopathy is an inflammatory neurological disorder of the spinal cord (myelopathy). It occurs in 1 (severe) to 8 (mild) cases/million per year. It is often referred to in the literature as "transverse myelitis" or "acute transverse myelitis". Myelopathy and by extension myelitis, can present as pyramidal (motor), sensory, and/or autonomic dysfunction to varying degrees. Symptoms typically develop over hours to days and worsen over days to weeks. Sensory symptoms usually present as paresthesia ascending from the feet with or without back pain at or near the level of the myelitis. A cervical level focal myelitis can present as sensory symptoms restricted to the feet without ascending extension. Motor symptoms often include weakness that preferentially affects the flexors of the legs and the extensors of the arms (pyramidal distribution of weakness) and can include sphincter dysfunction.
  
  
  METHODS
  This is the case of a 55 years old female patient who develops sudden onset abdominal abscess one year after bariatric surgery that was complicated by an extensive infectious myelitis and cerebral abscesses without any cerebral symptoms. She received adequate antibiotherapy treatment with good evolution.
  
  
  CONCLUSIONS
  This case is among the first in the medical literature that has occurred one year after bariatric surgery complicated by an abdominal and cerebral abscesses, and extensive infectious myelitis. We discussed all types of myelitis including, the autoimmune and the infectious origin. We showed the progressive evolution by showing MRI sequences. We emphasized about the importance of rapid initiation of the antibiotherapy as well as adding glucocorticoids.
authors: Infectious diseases department, Faculty of medicine, Saint-Joseph University, Hotel Dieu de France Hospital, Medical Sciences and Nursing Campus, Faculty of Medicine, Damascus Street, B.P. 11-5076, Riad El Solh, Beirut, 1107-2180, Lebanon. ehaddad@live.com.|Infectious diseases department, Hotel Dieu de France Hospital, Alfred Naccache Boulevard, Achrafieh, Beirut, BP, 16-6830, Lebanon. ehaddad@live.com.
authors: Elie
authors: E
authors: Haddad
authors: Infectious diseases department, Faculty of medicine, Saint-Joseph University, Hotel Dieu de France Hospital, Medical Sciences and Nursing Campus, Faculty of Medicine, Damascus Street, B.P. 11-5076, Riad El Solh, Beirut, 1107-2180, Lebanon. carmenjoukhadar@hotmail.com.|Infectious diseases department, Hotel Dieu de France Hospital, Alfred Naccache Boulevard, Achrafieh, Beirut, BP, 16-6830, Lebanon. carmenjoukhadar@hotmail.com.
authors: Carmen
authors: C
authors: Joukhadar
authors: Infectious diseases department, Faculty of medicine, Saint-Joseph University, Hotel Dieu de France Hospital, Medical Sciences and Nursing Campus, Faculty of Medicine, Damascus Street, B.P. 11-5076, Riad El Solh, Beirut, 1107-2180, Lebanon. nabilsj@yahoo.com.|Infectious diseases department, Hotel Dieu de France Hospital, Alfred Naccache Boulevard, Achrafieh, Beirut, BP, 16-6830, Lebanon. nabilsj@yahoo.com.
authors: Nabil
authors: N
authors: Chehata
authors: Infectious diseases department, Faculty of medicine, Saint-Joseph University, Hotel Dieu de France Hospital, Medical Sciences and Nursing Campus, Faculty of Medicine, Damascus Street, B.P. 11-5076, Riad El Solh, Beirut, 1107-2180, Lebanon. roynasnas@hotmail.com.|Infectious diseases department, Hotel Dieu de France Hospital, Alfred Naccache Boulevard, Achrafieh, Beirut, BP, 16-6830, Lebanon. roynasnas@hotmail.com.
authors: Roy
authors: R
authors: Nasnas
authors: Infectious diseases department, Faculty of medicine, Saint-Joseph University, Hotel Dieu de France Hospital, Medical Sciences and Nursing Campus, Faculty of Medicine, Damascus Street, B.P. 11-5076, Riad El Solh, Beirut, 1107-2180, Lebanon. jacqueschoucair@hotmail.com.|Infectious diseases department, Hotel Dieu de France Hospital, Alfred Naccache Boulevard, Achrafieh, Beirut, BP, 16-6830, Lebanon. jacqueschoucair@hotmail.com.
authors: Jacques
authors: J
authors: Choucair
mesh_terms: D018784:Abdominal Abscess / Q000175:diagnosis* / Q000473:pathology; D050110:Bariatric Surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009188:Myelitis, Transverse / Q000175:diagnosis* / Q000473:pathology; D011183:Postoperative Complications / Q000175:diagnosis* / Q000473:pathology; D012720:Severity of Illness Index