Case Report: A rare case of intramedullary spinal cord abscess with brain abscess caused by Klebsiella pneumoniae underwent surgical intervention
BackgroundIntramedullary Spinal Cord Abscess (ISCA) is an uncommon infectious disease of the central nervous system. Since its first report in 1830, there have been very few documented cases associated with it. Here, we present a case of ISCA with cerebral abscess caused by Klebsiella pneumoniae.Cas...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1338719/full |
| _version_ | 1797294269176741888 |
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| author | Wenjuan Zhang Wenjuan Zhang Xiangyu Guo Xiangyu Guo Xuejun Xu Bing Deng |
| author_facet | Wenjuan Zhang Wenjuan Zhang Xiangyu Guo Xiangyu Guo Xuejun Xu Bing Deng |
| author_sort | Wenjuan Zhang |
| collection | DOAJ |
| description | BackgroundIntramedullary Spinal Cord Abscess (ISCA) is an uncommon infectious disease of the central nervous system. Since its first report in 1830, there have been very few documented cases associated with it. Here, we present a case of ISCA with cerebral abscess caused by Klebsiella pneumoniae.Case presentationA 55-year-old male patient presented with head and neck pain, fever, and left limb weakness for 5 days. The diagnosis of ISCA with brain abscess caused by Klebsiella pneumoniae was confirmed through sputum culture, cerebrospinal fluid gene test, pus culture, and magnetic resonance imaging (MRI) as well as computerized tomography (CT) scan. The patient had a history of pulmonary tuberculosis and old tuberculous foci were observed in the lung. Initially considering tuberculosis as the cause due to unclear etiology at that time, anti-tuberculosis treatment was administered. However, due to rapid deterioration in the patient's condition and severe neurological dysfunction within a short period of time after admission, surgical intervention including incision and drainage for intramedullary abscess along with removal of brain abscess was performed. Subsequent postoperative follow-up showed improvement in both symptoms and imaging findings.ConclusionEarly diagnosis of central nervous system (CNS) abscess coupled with prompt surgical intervention and administration of appropriate antibiotics are crucial factors in preventing disease progression and reducing mortality rates. |
| first_indexed | 2024-03-07T21:27:48Z |
| format | Article |
| id | doaj.art-6de7d1461e474f36bd84e2c8f234523a |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-03-07T21:27:48Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-6de7d1461e474f36bd84e2c8f234523a2024-02-27T04:20:45ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2024-02-011110.3389/fsurg.2024.13387191338719Case Report: A rare case of intramedullary spinal cord abscess with brain abscess caused by Klebsiella pneumoniae underwent surgical interventionWenjuan Zhang0Wenjuan Zhang1Xiangyu Guo2Xiangyu Guo3Xuejun Xu4Bing Deng5Graduate School of Zunyi, Zunyi Medical University, Zunyi, Guizhou Province, ChinaDepartment of Neurosurgery, Chengdu Second People’s Hospital, Chengdu, Sichuan Province, ChinaGraduate School of Zunyi, Zunyi Medical University, Zunyi, Guizhou Province, ChinaDepartment of Neurosurgery, Chengdu Second People’s Hospital, Chengdu, Sichuan Province, ChinaDepartment of Neurosurgery, Chengdu Second People’s Hospital, Chengdu, Sichuan Province, ChinaDepartment of Neurosurgery, Chengdu Second People’s Hospital, Chengdu, Sichuan Province, ChinaBackgroundIntramedullary Spinal Cord Abscess (ISCA) is an uncommon infectious disease of the central nervous system. Since its first report in 1830, there have been very few documented cases associated with it. Here, we present a case of ISCA with cerebral abscess caused by Klebsiella pneumoniae.Case presentationA 55-year-old male patient presented with head and neck pain, fever, and left limb weakness for 5 days. The diagnosis of ISCA with brain abscess caused by Klebsiella pneumoniae was confirmed through sputum culture, cerebrospinal fluid gene test, pus culture, and magnetic resonance imaging (MRI) as well as computerized tomography (CT) scan. The patient had a history of pulmonary tuberculosis and old tuberculous foci were observed in the lung. Initially considering tuberculosis as the cause due to unclear etiology at that time, anti-tuberculosis treatment was administered. However, due to rapid deterioration in the patient's condition and severe neurological dysfunction within a short period of time after admission, surgical intervention including incision and drainage for intramedullary abscess along with removal of brain abscess was performed. Subsequent postoperative follow-up showed improvement in both symptoms and imaging findings.ConclusionEarly diagnosis of central nervous system (CNS) abscess coupled with prompt surgical intervention and administration of appropriate antibiotics are crucial factors in preventing disease progression and reducing mortality rates.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1338719/fullintramedullary spinal cord abscessbrain abscessKlebsiella pneumoniaesurgerycase report |
| spellingShingle | Wenjuan Zhang Wenjuan Zhang Xiangyu Guo Xiangyu Guo Xuejun Xu Bing Deng Case Report: A rare case of intramedullary spinal cord abscess with brain abscess caused by Klebsiella pneumoniae underwent surgical intervention Frontiers in Surgery intramedullary spinal cord abscess brain abscess Klebsiella pneumoniae surgery case report |
| title | Case Report: A rare case of intramedullary spinal cord abscess with brain abscess caused by Klebsiella pneumoniae underwent surgical intervention |
| title_full | Case Report: A rare case of intramedullary spinal cord abscess with brain abscess caused by Klebsiella pneumoniae underwent surgical intervention |
| title_fullStr | Case Report: A rare case of intramedullary spinal cord abscess with brain abscess caused by Klebsiella pneumoniae underwent surgical intervention |
| title_full_unstemmed | Case Report: A rare case of intramedullary spinal cord abscess with brain abscess caused by Klebsiella pneumoniae underwent surgical intervention |
| title_short | Case Report: A rare case of intramedullary spinal cord abscess with brain abscess caused by Klebsiella pneumoniae underwent surgical intervention |
| title_sort | case report a rare case of intramedullary spinal cord abscess with brain abscess caused by klebsiella pneumoniae underwent surgical intervention |
| topic | intramedullary spinal cord abscess brain abscess Klebsiella pneumoniae surgery case report |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1338719/full |
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