Intramedullary Cervical Spinal Cord Abscess by Viridans Group Streptococcus Secondary to Infective Endocarditis and Facilitated by Previous Local Radiotherapy

被引：9

作者：

Fernandez-Ruiz, Mario ^{[1
]}

Lopez-Medrano, Francisco ^{[2
]}

Garcia-Montero, Maria ^{[3
]}

Hornedo-Muguiro, Javier ^{[4
]}

Aguado, Jose-Maria ^{[2
]}

机构：

[1] Univ Hosp 12 Octubre, Dept Internal Med, Madrid, Spain

[2] Univ Hosp 12 Octubre, Infect Dis Unit, Madrid, Spain

[3] Clin La Luz, Dept Internal Med, Madrid, Spain

[4] Clin La Luz, Dept Oncol, Madrid, Spain

来源：

INTERNAL MEDICINE | 2009年 / 48卷 / 01期

关键词：

intramedullary abscess; cervical spinal cord; radiotherapy; infective endocarditis; viridans group Streptococcus; BLOOD-BRAIN-BARRIER; OF-THE-LITERATURE; PERMEABILITY; RADIATION;

D O I：

10.2169/internalmedicine.48.1548

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The risk factors, microbial patterns, and prognosis of intramedullary abscess have varied with time. The development of an intramedullary abscess of the spinal cord (IASC) constitutes an exceptional complication of infective endocarditis (IE) in the post-antibiotic era. We present a case of cervical IASC by viridans group Streptococcus in a patient with mitral valve IE. We hypothesize that previous cervical radiotherapy for non-Hodgkin's lymphoma favoured the occurrence of this uncommon entity. This physiopathologic mechanism has not been previously reported.

引用

页码：61 / 64

页数：4

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