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KMID : 0191120070220020380
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Journal of Korean Medical Science
2007 Volume.22 No. 2 p.380 ~ p.382
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Eikenella Corrodens Cervical Spinal Epidural Abscess Induced by a Fish Bone
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Jeon Seong-Ho
Han Dong-Chul
Lee Sang-Gu
Park Hyeon-Mi
Shin Dong-Jin
Lee Yeong-Bae
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Abstract
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Cervical spinal epidural abscess, caused by fish bone injury and a secondary infection by Eikenella corrodens which is part of the normal flora, has not been reported. A 72-yr-old man came to the hospital with pain in his posterior neck and both shoulders for 2 months. He also was experiencing weakness on his right side for 3 days. A fish bone had been stuck in his throat for about 2 months. Neurological examination revealed right hemiparesis, hypesthesia on the left extremities and neck stiffness. Laboratory findings showed an elevated ESR/CRP and leukocytosis, and magnetic resonance imaging revealed a retropharyngeal abscess and cervical myelitis. The patient was treated with emergency surgical decompression and antibiotics. A fish bone was removed from the C3-C4 intervertebral disc space. In the culture of chocolate blood agar and 5% sheep blood agar plate, E. corrodens was detected as a causative organism.
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KEYWORD
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Eikenella Corrodens, Fish Bone, Spinal Epidural Abscess
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