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. 2023 Apr 21;7(6):547-550.
doi: 10.22603/ssrr.2023-0017. eCollection 2023 Nov 27.

Thoracic Spondylitis Associated with Sepsis and Neurological Deficit Caused by Edwardsiella tarda: A Case Report

Koki Tsuchiya  1 , Ichiro Okano  1 , Youhei Miyamoto  1 , Hiroshi Maruyama  1 , Yoshihisa Komuro  1 , Yoshifumi Kudo  1 , Tomoaki Toyone  1 , Katsunori Inagaki  1
Affiliations

Thoracic Spondylitis Associated with Sepsis and Neurological Deficit Caused by Edwardsiella tarda: A Case Report

Koki Tsuchiya et al. Spine Surg Relat Res. .
No abstract available

Keywords: Edwardsiella tarda, epidural abscess; neurological deficit; sepsis; thoracic spondylitis.

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Conflict of interest statement

Conflicts of Interest: The authors declare that there are no relevant conflicts of interest.

Figures

Figure 1.
Figure 1.
Computed tomography (CT) and magnetic resonance imaging (MRI) scan images of the thoracic spine. (a) Sagittal reconstructed CT scan showing endplate erosion at the T1/2 disk. (b) T2-weighted sagittal MR image showing bone edema in the T1-2 vertebrae and fluid accumulation in the T1/2 disk. (c) T2-weighted axial MRI showing an iso-low signal intensity mass representing an epidural abscess in the thoracic spinal canal at T1/2. (d) Colonies of E.tarda isolated from the culture on bromothymol blue medium.
Figure 2.
Figure 2.
Summary of the patient’s clinical course. CT-guided drainage was performed on day 1. The patient experienced paralysis in the lower extremities on day 12, and posterior spinal fusion was performed on day 38. His condition improved, and he was transferred to the rehabilitation hospital on day 62. PIPC/TAZ: Piperacillin/tazobactam, CEZ: Cefazolin, MEPM: Meropenem, CTRX: Ceftriaxone, LVFX: Levofloxacin, CT: Computed tomography, CRP: C-reactive protein, WBC, White blood cell
Figure 3.
Figure 3.
Postadmission images of the thoracic spine. (a) Sagittal magnetic resonance imaging scan after the appearance of paralysis showing progressed epidural abscess and spinal cord compression at the level of T1-2. (b) Anteroposterior thoracic spine view of the postoperative radiograph showing spinal instrumentation applied at C7-T3 levels. (c) Sagittal computed tomography scan 6 months postoperatively showing solid bony fusion of T1-2.
See this image and copyright information in PMC

References

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