rss
BMJ Case Reports 2011; doi:10.1136/bcr.11.2010.3512
  • Rare disease

A 51-year-old man with intramedullary spinal cord abscess having a patent foramen ovale

  1. Fumio Kanda4
  1. 1Department of Neurology, Hyogo Prefectural Amagasaki Hospital, Amagasaki, Japan
  2. 2Department of Neurology, Kasai City Hospital, Kasai, Japan
  3. 3Department of Neurology, Hyogo Rehabilitation Center Hospital, Kobe, Japan
  4. 4Department of Neurology, Kobe University Hospital, Kobe, Japan
  1. Correspondence to Kanako Higuchi, kanakohiguchi1214{at}yahoo.co.jp

Summary

The authors report a case of a 51-year-old man with intramedullary spinal cord abscess (ISCA) having a patent foramen ovale (PFO). He developed fever and tetraplegia after a recent dental treatment. MRI showed ISCA with longitudinal swelling from the upper cervical to the lumbar spinal cord. Cerebrospinal fluid (CSF) analysis indicated bacterial meningitis, and the culture of CSF revealed Streptococcus viridans. Transoesophageal echocardiography revealed the existence of a PFO. We suspected another possibility other than systemic bacteraemia, that paradoxical bacteric embolisation through PFO after the dental treatment caused ISCA. While several reports of brain abscess with PFO are available, this is the first report of ISCA with PFO.

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

No Related Web Pages

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article