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Oesophageal pleural fistula presenting with Parvimonas micra infection causing cervical and brain abscesses

Anan Shtaya1, Helmut Schuster2, Peter Riley3

  • 1Academic Neurosurgery Unit, St George's University of London, London, UK.

Anaerobe
|June 27, 2017
PubMed

Insights

Parvimonas micra (P. micra) caused rare spinal cord compression via an occult esophageal fistula. Prompt surgical and antibiotic treatment led to a favorable neurological outcome.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Surgical Pathology

Background:

  • Spinal cord compression is a rare but serious complication of infections.
  • Parvimonas micra (P. micra) is an uncommon pathogen, rarely implicated in severe neurological infections.

Observation:

  • A case of severe neurological deficits due to spinal epidural and brain abscesses is presented.
  • The abscesses were caused by an occult esophageal pleural fistula, identified as P. micra.

Findings:

  • Molecular detection was crucial for identifying P. micra as the causative agent.
  • Successful management involved surgical decompression, drainage, antibiotics, and fistula repair.

Implications:

  • This case highlights the importance of considering rare pathogens in complex infections.
  • Early and multidisciplinary intervention is key for favorable outcomes in spinal epidural abscesses.
  • Advances in molecular diagnostics aid in identifying challenging pathogens.
Keywords:
AbscessFistulaParvimonas micraSpinal cord

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