Actinomycosis of the neck causing cervical epidural cord compression. 'A case report and review of literature'

Abstract

Objective and importance: Involvement of cervical spinal cord by Actinomycosis and consequent cord compression is a rare presentation. As the organism is located in nose and throat, the face and jaw area is commonly affected. Involvement of cervical cord has been rarely recorded. We are reporting this case because of the rarity of area of the involvement and have reviewed literature. Clinical presentation: A 30-year-old male with multiple discharging sinuses on the nape of neck and upper back for 7 years which resulted in cervical cord compression and spastic paraperesis. Tissue biopsy from the site of discharging sinuses revealed Actinomycosis. Patient responded to the medical therapy with penicillin and power in lower limbs was improved. The local lesion was also reduced. Intervention: Medical therapy with penicillin and surgical decompression forms the mainstay of treatment. Conclusion: A high degree of suspicion and demonstration of organism by biopsy or culture is essential for treatment. Penicillin is highly effective and should be given for long duration for optimal results. © 2007 International Spinal Cord Society All rights reserved.