Eikenella corrodens cervical spinal epidural abscess induced by a fish bone

  • Jeon S
  • Han D
  • Lee S
 et al. 
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Abstract

Cervical spinal epidural abscess, caused by fish bone injury and a secondary infection by Eikenella corrodens which is part of the normal flora, has not been reported. A 72-yr-old man came to the hospital with pain in his posterior neck and both shoulders for 2 months. He also was experiencing weakness on his right side for 3 days. A fish bone had been stuck in his throat for about 2 months. Neurological examination revealed right hemiparesis, hypesthesia on the left extremities and neck stiffness. Laboratory findings showed an elevated ESR/CRP and leukocytosis, and magnetic resonance imaging revealed a retropharyngeal abscess and cervical myelitis. The patient was treated with emergency surgical decompression and antibiotics. A fish bone was removed from the C3-C4 intervertebral disc space. In the culture of chocolate blood agar and 5% sheep blood agar plate, E. corrodens was detected as a causative organism.

Author-supplied keywords

  • Eikenella corrodens
  • Fish bone
  • Spinal epidural abscess

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Authors

  • Seong Ho Jeon

  • Dong Chul Han

  • Sang Gu Lee

  • Hyeon Mi Park

  • Dong Jin Shin

  • Yeong Bae Lee

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