Related Experiment Video
Updated: May 18, 2026

06:23
Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
Recurrent bacterial meningitis accompanied by a spinal intramedullary abscess
Min Seong Kim1, Chang Il Ju, Seok Won Kim
1Department of Dermatology, College of Medicine, Chosun University, Gwangju, Korea.
Journal of Korean Neurosurgical Society
|September 6, 2012
Summary
Recurrent meningitis can signal a rare spinal intramedullary abscess in adults. This case highlights an unusual presentation of bacterial meningitis, prompting a review of spinal abscess pathophysiology.
Area of Science:
- Neurology
- Infectious Diseases
- Neurosurgery
Background:
- Bacterial meningitis is a serious infection of the central nervous system.
- Spinal intramedullary abscesses are rare but severe complications.
- Recurrent meningitis is an uncommon clinical presentation.
Observation:
- A 63-year-old patient presented with recurrent meningitis as the initial symptom.
- The underlying cause was identified as a spinal intramedullary abscess.
- This represents a rare instance of this condition in an adult.
Findings:
- The study reports the first known case of recurrent meningitis caused by a spinal intramedullary abscess in an adult.
- Discussion of the pathophysiological mechanisms contributing to this rare presentation.
- Comprehensive review of existing literature on spinal intramedullary abscesses and meningitis.
Implications:
- Highlights the importance of considering spinal intramedullary abscess in adults with recurrent meningitis.
- Suggests a need for further investigation into the diagnostic and therapeutic strategies for this rare condition.
- Contributes to the understanding of uncommon neurological infectious disease presentations.
Related Concept Videos
Bacterial Meningitis I: Introduction
Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
Brain Abscess l: Introduction
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
Bacterial Meningitis II: Pathophysiology
Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...
Viral Meningitis
Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Encephalitis l: Introduction
Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Acute Pyelonephritis II: Diagnostic Studies and Management
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...

