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Finegoldia magna causing intramedullary thoracic spinal cord abscess in an infant

Sarah Alsubaie1, Saeed Dolgum1, Khalifa Binkhamis2

  • 1Pediatric Infectious Diseases Unit, Department of Pediatric, King Saud University Medical City, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Anaerobe
|February 11, 2019
PubMed

Insights

Spinal intramedullary abscesses are rare infections. A 7-month-old infant experienced a unique monomicrobial spinal cord abscess caused by Finegoldia magna, successfully treated with antibiotics.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Pediatrics

Background:

  • Spinal intramedullary abscesses are uncommon but severe neurological infections, typically caused by staphylococci.
  • Anaerobic bacteria are rarely implicated and usually present as polymicrobial infections.

Observation:

  • A 7-month-old infant presented with a spinal intramedullary abscess.
  • The abscess was attributed to a monomicrobial infection with Finegoldia magna.
  • A congenital thoracic dermal sinus was identified as a predisposing factor.

Findings:

  • Treatment with metronidazole and ceftriaxone over 8 weeks led to documented improvement of the infection.
  • This case highlights Finegoldia magna as a causative agent in spinal intramedullary abscesses.

Implications:

  • Increased clinical awareness of at-risk patients is crucial for early diagnosis and intervention of spinal cord infections.
  • Enhanced detection methods for Finegoldia magna necessitate greater recognition of its pathogenic potential in neurological infections.
Keywords:
AnaerobesFinegoldia magnaIntramedullary spinal cord abscess

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