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Spinal intrathecal actinomycosis: a case report

S Ushikoshi1, I Koyanagi, K Hida

  • 1Department of Neurosurgery, University of Hokkaido, School of Medicine, Sapporo, Japan.

Surgical Neurology
|September 15, 1998
PubMed
Summary

This case report details a rare instance of spinal actinomycosis, an infection typically affecting the brain. Early recognition of clinical signs and serial MRI findings is crucial for diagnosing this unusual spinal condition.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Radiology

Background:

  • Actinomycosis of the central nervous system is rare, usually presenting as cerebral abscesses.
  • This report focuses on an exceptionally rare case of spinal intrathecal actinomycosis.

Observation:

  • A 33-year-old man presented with fever, back pain, and paraparesis.
  • MRI revealed an enhancing mass mimicking a tumor at the thoraco-lumbar junction.
  • Progressive symptoms led to repeat surgery, revealing granulation tissue and abscesses.

Findings:

  • Actinomyces organisms were identified histologically in surgical specimens.
  • Serial MRI showed ring-like enhancement, aiding diagnosis.

Implications:

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  • The clinical course and serial MRI changes are vital for suspecting spinal actinomycosis.
  • This case highlights the importance of considering rare infections in spinal pathologies.