Intramedullary cervical abscess in the setting of aortic valve endocarditis.




Spinal cord tissue has a remarkable resistance to infection. An intramedullary abscess is an exceptional complication of infective endocarditis in the post-antibiotic era. We describe the case of a 42-year-old man who presented with fever and cephalea. Two days later, left-side numbness, lack of sphincter control, and a new aortic murmur were noticed. Magnetic resonance imaging demonstrated an 8 ×15-mm intramedullary cervical abscess. Transesophageal echocardiography revealed an aortic valve perforation as a result of infective endocarditis. Conservative management was decided for the intramedullary abscess.

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KEYWORDS:

Abscess; aortic valve insufficiency; bacterial; endocarditis; paraparesis; spinal cord diseases; streptococcal infections


Fonte originale: http://www.ncbi.nlm.nih.gov/pubmed/24887857

Crediti per il testo: Arnáiz-García ME1, González-Santos JM2, López-Rodriguez J2, Dalmau-Sorli MJ2, Bueno-Codoñer M2,

 

 

 


 

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