Spinal actinomycosis: A rare disease

Dua, Rakesh Kumar; Bhat, Dhananjaya I; Indira, Devi B

doi:10.4103/0028-3886.63794

Cited by 4 publications

(4 citation statements)

References 17 publications

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“…The actinomycois-related spinal neurological deficits include myelopathy or myeloradiculopathy and are due to compression from epidural mass lesions. [ 6 ] Our case presented with myeloradiculopathy affecting exclusively left lower limb. Radiologically it can be mistaken for tuberculosis, septic osteomyelitis of spine or malignancy.…”

Section: Discussionmentioning

confidence: 97%

Lumbosacral actinomycosis in an immunocompetent individual: An extremely rare case

Patil

et al. 2014

J Craniovert Jun Spine

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Actinomycosis is a gram positive commensal bacteria. In predisposed individuals like immunocompromised patients, it can cause myriad lesions involving virtually any organ of the body. Involvement of spinal cord with its compression is rare though. We are reporting here a case of 30-year-old immunocompetent male who presented with weakness of left lower limb. Radiologically differential diagnosis was tuberculosis or lymphoma of spinal cord. Histopathology showed actinomycotic colonies that were periodic Schiff (PAS) positive and revealed gram positive filamentous bacteria.

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Section: Discussionmentioning

confidence: 97%

Lumbosacral actinomycosis in an immunocompetent individual: An extremely rare case

Patil

et al. 2014

J Craniovert Jun Spine

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“…Local neurological symptoms can indicate involvement of the spinal cord or the nerve root segments. The mechanism contributing to myelopathy or myeloradiculopathy may be compression by intraspinal mass lesions, together with inflammation ( 4 ). Epidural inflammation may compromise circulation of the epidural venous plexus, resulting in ischemia of the spinal cord and nerve roots ( 13 ).…”

Section: Discussionmentioning

confidence: 99%

“…Central nervous system (CNS) actinomycosis is a rare entity, and may manifest as brain abscess, meningitis or meningoencephalitis, actinomycoma, subdural empyema, and epidural abscess (3). Most of the previous cases of intraspinal actinomycosis involved patients who presented with epidural mass lesions (4,5). For spinal "subdural" lesions, the term "intrathecal" instead of "subdural" is preferred because the latter limits the location to extra-arachnoid (6).…”

Section: Introductionmentioning

confidence: 99%

Spinal Intrathecal Actinomycosis Causes Multisegmental Root Failure: A Case Report

et al. 2020

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Actinomycosis is a slowly progressing infection caused by Actinomyces species, which consists of filamentous gram-positive bacteria. Intraspinal actinomycosis is very rare and most of the previous cases presented with epidural lesions. Only two cases of intrathecal actinomycosis have been described. We reported a case of intrathecal actinomycosis in a 46-year-old woman. Our patient presented with multisegmental root failure, which was different from previous intrathecal cases mainly involving the spinal cord. The manifestations, cervical MR imaging results, biopsy and histopathological features, and treatment history of the patient were reviewed. Clinical features of this disease resemble intraspinal neoplasms, other infectious processes, and granulomatous diseases, thus being difficult to diagnose preoperatively. Histopathological evidence from the biopsy is important for timely diagnosis. Early diagnosis and treatment may greatly improve the prognosis.

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“…In a case report and literature review from 2001, Houman et al collected only 15 cases with spinal cord compression. 5 In the recent literature, seven more case reports are to be found 1,[6][7][8][9][10][11] . The case reported here is an extremely rare combination of spinal and thoracic involvement.…”

Section: Discussionmentioning

confidence: 99%