Summary
The authors report a case of a spinal intrathecal empyema caused byActinomyces israelii in a patient who had been diagnosed, four years previously, of a left petrous apex abscess due to an unknown microorganism. The clinical course is outlined and the possibility of both lesions being related is discussed.
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References
Brown JR (1973) Human actinomycosis: a study of 181 subjects. Human Pathol 4: 319–330
Ernest J, Ratjen E (1971) Actinomycosis of the spine: report of two cases. Acta Orthop Scand 42: 35–44
Fraser RAR, Ratzan K, Wolpert SM, Weinstein L (1973) Spinal subdural empyema. Arch Neurol 28: 235–238
Friedman AH, Bullitt E (1985) Fungal infections. In: Wilkins RH, Rengachary SS (eds) Neurosurgery, Vol 2. McGraw-Hill, New York, pp 2002–2010
Heindel CC, Ferguson JP, Kumarasamy T (1974) Spinal subdural empyema complicating pregnancy: Case report. J Neurosurg 40: 654–656
Kannangara DW, Tanaka T, Thadepalli H (1981) Spinal epidural abscess due to actinomyces israelii. Neurology 31: 202–204
Kirsch WM, Stears JC (1970) Actinomycotic osteomyelitis of the skull and epidural space. Case report. J Neurosurg 33: 347–351
Lane T, Goings S, Fraser DWet al (1979) Disseminated actinomycosis with spinal cord compression: report of two cases. Neurology 29: 890–893
Lerner PI (1985) Actinomyces and arachnia species. In: Mandell GL, Douglas RG, Bennet JE (eds) Principles and practice of infectious diseases. 2nd ed. John & Sons Inc, New York, pp 1427–1433
Lomholdt Knudsen L, Voldby B, Stagaard M (1987) Computed tomographic myelography in spinal subdural empyema. Neuroradiology 29: 99
Louie JA, Kusske JA, Rush JL, Pribam HW (1979) Actinomycotic subdural empyema: Case report. J Neurosurg 51: 852–855
Patronas NJ, Marx WJ, Duda EE (1979) Radiographic presentation of spinal abscess in the subdural space. AJR 132: 138–139
Salles, Gouazé A, Boudouinet al (1966) Granulome actinomycosique du vermis. Neurochirurgie 12: 528–530
Shiller F, Shadle OW (1962) Extrathecal and intrathecal suppuration: report of two cases and discussion of the spinal subdural space. Arch Neurol 7: 49–52
Theodotou B, Woosley RE, Whaley RA (1984) Spinal subdural empyema: diagnosis by spinal CT. Surg Neurol 21: 610–612
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Alday, R., Lopez-Ferro, M.O., Fernandez-Guerrero, M. et al. Spinal intrathecal empyema due to Actinomyces israelii. Acta neurochir 101, 159–162 (1989). https://doi.org/10.1007/BF01410532
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DOI: https://doi.org/10.1007/BF01410532