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Published on: March 17, 2014
Chronic Pseudomonas aeruginosa cervical osteomyelitis
Sujeet Kumar Meher1, Harsh Jain1, Laxmi Narayan Tripathy1
1Department of Neurosurgery, Medica Institute of Neurological Diseases, Medica Superspeciality Hospital, Kolkata, West Bengal, India.
Abstract:
Pseudomonas aeruginosa is a rare cause of osteomyelitis of the cervical spine and is usually seen in the background of intravenous drug use and immunocompromised state. Very few cases of osteomyelitis of the cervical spine caused by pseudomonas aeruginosa have been reported in otherwise healthy patients. This is a case presentation of a young female, who in the absence of known risk factors for cervical osteomyelitis presented with progressively worsening neurological signs and symptoms.
Insights
Pseudomonas aeruginosa rarely causes cervical spine osteomyelitis, typically in immunocompromised individuals. This case highlights a young, healthy female presenting with neurological decline due to this rare infection.
Area of Science:
- Infectious Diseases
- Neurology
- Spinal Surgery
Background:
- Osteomyelitis of the cervical spine is uncommon.
- Pseudomonas aeruginosa is an infrequent pathogen in this condition.
- Risk factors usually include intravenous drug use and immunocompromise.
Observation:
- A young female patient without typical risk factors presented with worsening neurological symptoms.
- The patient developed signs and symptoms suggestive of cervical spine compromise.
Findings:
- The case involved osteomyelitis of the cervical spine.
- Pseudomonas aeruginosa was identified as the causative agent.
- The patient lacked traditional risk factors for this infection.
Implications:
- This case expands the understanding of Pseudomonas aeruginosa as a cause of cervical spine osteomyelitis.
- It underscores the importance of considering rare pathogens in unexplained neurological deterioration.
- Highlights the need for prompt diagnosis and management even in the absence of typical risk factors.
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