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Case Reports
. 2011 May 10:2011:bcr1120103512.
doi: 10.1136/bcr.11.2010.3512.

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

Kanako Higuchi  1 , Hiroyuki Ishihara, Shiho Okuda, Fumio Kanda
Affiliations
Case Reports

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

Kanako Higuchi et al. BMJ Case Rep. .

Abstract

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.

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Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
MRI at admission. (A) T2-weighted sagittal image. (B) T1-weighted sagittal image with contrast enhancement.
Figure 2
Figure 2
MRI at 8 days after admission. (A) T2-weighted sagittal image. (B) T1-weighted sagittal image with contrast enhancement. (C, D) T1-weighted axial image with contrast enhancement at the line.
See this image and copyright information in PMC

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