Literature DB >> 22696715

A 51-year-old man with intramedullary spinal cord abscess having a patent foramen ovale.

Kanako Higuchi1, Hiroyuki Ishihara, Shiho Okuda, Fumio Kanda.   

Abstract

The authors report a case of a 51-year-old man with intramedullary spinal cord abscess (ISCA) having a patent foramen ovale (PFO). He developed fever and tetraplegia after a recent dental treatment. MRI showed ISCA with longitudinal swelling from the upper cervical to the lumbar spinal cord. Cerebrospinal fluid (CSF) analysis indicated bacterial meningitis, and the culture of CSF revealed Streptococcus viridans. Transoesophageal echocardiography revealed the existence of a PFO. We suspected another possibility other than systemic bacteraemia, that paradoxical bacteric embolisation through PFO after the dental treatment caused ISCA. While several reports of brain abscess with PFO are available, this is the first report of ISCA with PFO.

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Year:  2011        PMID： 22696715      PMCID： PMC3091272          DOI： 10.1136/bcr.11.2010.3512

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN： 1757-790X


  16 in total

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  6 in total

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