RESUMEN
Actinomycosis is a rare, chronic, suppurative, granulomatous infection caused by a group of gram-positive anaerobic bacteria belonging to the natural flora of the oral cavity and gastrointestinal and urogenital tracts. It may involve several organs. This case study refers to pulmonary actinomycosis with chest wall involvement and cord compression in a 29-year-old male who presented with fever, cough, hemoptysis, neck pain, and paresis and plegia of the lower limbs of 5-month duration.
Asunto(s)
Actinomicosis/complicaciones , Enfermedades Pulmonares/complicaciones , Compresión de la Médula Espinal/microbiología , Pared Torácica/microbiología , Actinomicosis/diagnóstico , Adulto , Descompresión Quirúrgica , Humanos , Enfermedades Pulmonares/microbiología , Imagen por Resonancia Magnética , Masculino , Compresión de la Médula Espinal/diagnóstico , Compresión de la Médula Espinal/cirugía , Tomografía Computarizada por Rayos XRESUMEN
Actinomycosis is a rare, chronic, suppurative, granulomatous infection caused by a group of gram-positive anaerobic bacteria belonging to the natural flora of the oral cavity and gastrointestinal and urogenital tracts. It may involve several organs. This case study refers to pulmonary actinomycosis with chest wall involvement and cord compression in a 29-year-old male who presented with fever, cough, hemoptysis, neck pain, and paresis and plegia of the lower limbs of 5-month duration.
A actinomicose é uma infecção rara, crônica, supurativa e granulomatosa, causada por um grupo de bactérias anaeróbias Gram-positivas que pertencem à flora natural da cavidade oral, do aparelho gastrointestinal e urogenital. Pode envolver diversos órgãos. O estudo refere-se à actinomicose pulmonar com envolvimento da parede torácica e compressão medular em um paciente masculino com 29 anos que apresentava febre, tosse, hemoptise e cervicalgia, além de paresia e plegia em membros inferiores com cinco meses de evolução.
Asunto(s)
Adulto , Humanos , Masculino , Actinomicosis/complicaciones , Enfermedades Pulmonares/complicaciones , Compresión de la Médula Espinal/microbiología , Pared Torácica/microbiología , Actinomicosis/diagnóstico , Descompresión Quirúrgica , Enfermedades Pulmonares/microbiología , Imagen por Resonancia Magnética , Compresión de la Médula Espinal/diagnóstico , Compresión de la Médula Espinal/cirugía , Tomografía Computarizada por Rayos XRESUMEN
Neurosyphilis is recognized as a potential cause of hypertrophic pachymeningitis, but modern reports are few. A middle-aged man presented to hospital with a 1 month history of lower limb pain and weakness. Cerebrospinal fluid analysis showed pleocytosis with high protein levels and a positive venereal disease research laboratory result. Cervical spinal cord resonance imaging disclosed a dural contrast enhancement suggestive of pachymeningitis. Biopsy of the dura mater revealed a thick inflammatory process. Despite being treated accordingly, the patient rapidly deteriorated and died. The patient was diagnosed as having subacute hypertrophic cervical pachymeningitis which caused spinal cord compression. Serological evidence of neurosyphilis was present. Physicians should still be aware of this cause of hypertrophic pachymeningitis.