| Epidural abscess caused by Streptococcus milleri in a pregnant woman. | |
| | |
MedLine Citation:
|
PMID: 16269087 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Bacteria in the Streptococcus milleri group (S. anginosus, S. constellatus, and S. intermedius) are associated with bacteremia and abscess formation. While most reports of Streptococcus milleri group (SMG) infection occur in patients with underlying medical conditions, SMG infections during pregnancy have been documented. However, SMG infections in pregnant women are associated with either neonatal or maternal puerperal sepsis. Albeit rare, S. milleri spinal-epidural abscess in pregnancy has been reported, always as a complication of spinal-epidural anesthesia. We report a case of spinal-epidural abscess caused by SMG in a young, pregnant woman without an antecedent history of spinal epidural anesthesia and without any underlying risk factors for invasive streptococcal disease. CASE PRESENTATION: A 25 year old pregnant woman developed neurological symptoms consistent with spinal cord compression at 20 weeks gestation. She underwent emergency laminectomy for decompression and was treated with ceftriaxone 2 gm IV daily for 28 days. She was ambulatory at the time of discharge from the inpatient rehabilitation unit with residual lower extremity weakness. CONCLUSION: To our knowledge, this is the first reported case of a Streptococcus milleri epidural abscess in a healthy, pregnant woman with no history of epidural anesthesia or invasive procedures. This report adds to the body of literature on SMG invasive infections. Treatment of SMG spinal-epidural abscess with neurologic manifestations should include prompt and aggressive surgical decompression coupled with targeted anti-infective therapy. |
| | |
Authors:
|
Russell Lampen; Gonzalo Bearman |
Related Documents
:
|
21071207 - Spinal metastasis of endometrial stromal sarcoma: clinicopathological features and mana... 11437297 - Migration of pacemaker lead into the spinal venous plexus: case report with special ref... 10646437 - Pediatric spinal cord injuries: a case presentation. 8347967 - Correlation of motor-evoked potentials, somatosensory-evoked potentials, and the wake-u... 9509107 - Middle-ear lipoma as a cause of otomastoiditis. 15322467 - Death by smothering following forced quetiapine administration in an infant. |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2005-11-03 |
Journal Detail:
|
Title: BMC infectious diseases Volume: 5 ISSN: 1471-2334 ISO Abbreviation: BMC Infect. Dis. Publication Date: 2005 |
Date Detail:
|
Created Date: 2005-11-24 Completed Date: 2006-05-05 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 100968551 Medline TA: BMC Infect Dis Country: England |
Other Details:
|
Languages: eng Pagination: 100 Citation Subset: IM |
Affiliation:
|
Division of Infectious Diseases, Department of Internal Medicine, Virginia Commonwealth University Medical Center, Richmond, VA, USA. lampenru@hotmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Anti-Bacterial Agents / therapeutic use Ceftriaxone / therapeutic use Epidural Abscess / diagnosis, drug therapy, microbiology*, surgery Female Humans Pregnancy Streptococcal Infections / diagnosis, drug therapy, microbiology*, surgery Streptococcus milleri Group / isolation & purification, physiology* |
| Chemical | |
Reg. No./Substance:
|
0/Anti-Bacterial Agents; 73384-59-5/Ceftriaxone |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Characterization of the metabolic shift between oxidative and fermentative growth in Saccharomyces c...
Next Document: Evaluation of KO-Tab 1-2-3: a wash-resistant 'dip-it-yourself' insecticide formulation for long-last...