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CASE REPORT
Year : 2017  |  Volume : 1  |  Issue : 1  |  Page : 19-21

The fatal case of spinal epidural abscess caused by Fusobacterium necrophorum complicated by meningitis


1 Department of Neurosurgery, Specialist Medical Center, Polanica-Zdroj, Poland
2 Department of Neurosurgery, Regional Medical Center, Opole, Poland
3 Department of Neurosurgery, Lubuskie Center of Neurosurgery and Neurotrauma, Zielona Góra, Poland

Correspondence Address:
Grzegorz Miekisiak
Department of Neurosurgery, Specialist Medical Center, ul. Jana Pawła II 2, 57-320 Polanica-Zdroj
Poland
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/EJSS.EJSS_4_17

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Fusobacterium necrophorum is an anaerobic Gram-negative bacillus classically associated with the Lemierre syndrome. Although it can cause a localized infection, it is rarely a culprit of a spinal epidural abscess. We report a case of a spinal epidural abscess caused by Fusobacterium necrophorum complicated by meningitis. The patient, two years earlier treated surgically for cervical spondylotic myelopathy with corpectomy, presented with a new-onset severe neck pain and progressive tetraparesis. Based on imaging studies spinal epidural abscess was diagnosed. Despite intensive surgical treatment and subsequent antibiotic therapy the patient gradually deteriorated and eventually died. Fusobacterium necrophorum was identified as a culprit. Fusobacterium necrophorum is a very rare cause of spinal epidural abscess (SEA). Because of high virulence of this pathogen localized infection can progress rapidly into a generalized septicemia and life-threatening neuroinfection.


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