Eikenella Corrodens Cervical Spinal Epidural Abscess Induced by a Fish Bone.
10.3346/jkms.2007.22.2.380
- Author:
Seong Ho JEON
1
;
Dong Chul HAN
;
Sang Gu LEE
;
Hyeon Mi PARK
;
Dong Jin SHIN
;
Yeong Bae LEE
Author Information
1. Department of Neurology, Gachon University of Medicine and Science, Gil Medical Center, 1198 Guwol-dong, Namdong-gu, Incheon, Korea. lyb@gilhospital.com
- Publication Type:Case Report
- Keywords:
Eikenella Corrodens;
Fish Bone;
Spinal Epidural Abscess
- MeSH:
Male;
Humans;
Gram-Negative Bacterial Infections/diagnosis/*etiology/prevention & control;
Foreign Bodies/*complications/*surgery;
Food/*adverse effects;
Fishes;
Epidural Abscess/diagnosis/*etiology/*surgery;
Eikenella corrodens/*isolation & purification;
Decompression, Surgical;
Bone and Bones;
Anti-Bacterial Agents/administration & dosage;
Animals;
Aged
- From:Journal of Korean Medical Science
2007;22(2):380-382
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
