A rare etiology of cauda equina syndrome

被引:13
作者
Batra, Sumit [1 ,2 ]
Arora, Sumit [3 ,4 ]
Meshram, Hemant [1 ,2 ]
Khanna, Geetika [2 ,5 ]
Grover, Shabnam B. [2 ,6 ]
Sharma, Vinod K. [1 ,2 ]
机构
[1] Vardhman Mahavir Med Coll, Cent Inst Orthopaed, New Delhi, India
[2] Associated Safdarjung Hosp, New Delhi, India
[3] Maulana Azad Med Coll, Dept Orthopaed Surg, New Delhi, India
[4] Associated Lok Nayak Hosp, New Delhi, India
[5] Vardhman Mahavir Med Coll, Dept Pathol, New Delhi, India
[6] Vardhman Mahavir Med Coll, Dept Radiodiag, New Delhi, India
关键词
Cauda equina syndrome; fungal epidural abscess; vertebral osteomyelitis; aspergillosis; laminectomy; SPINAL EPIDURAL ABSCESS; ASPERGILLUS OSTEOMYELITIS; VERTEBRAL OSTEOMYELITIS; INVASIVE ASPERGILLOSIS; AMPHOTERICIN-B; ITRACONAZOLE; VORICONAZOLE; DISEASES; THERAPY; PATIENT;
D O I
10.3855/jidc.1001
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Fungal infections of the spine are very rare and usually seen in immunocompromised patients. Acute cauda equina syndrome presenting in an immunocompetent patient is usually due to a prolapse of the intervertebral disc. Infective pathology caused by Mycobacterium tuberculosis with epidural collection can also have a similar presentation. We present a case of spinal epidural abscess caused by Aspergillus fumigatus, presenting as acute cauda equina syndrome. To the best of our knowledge, spinal aspergillosis presenting as cauda equina syndrome in an immunocompetent patient has not been reported before in the English-language based medical literature. Surgical decompression with antifungal treatment with oral itraconazole yielded a good recovery.
引用
收藏
页码:79 / 82
页数:4
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