Cervical spinal cord compression in a child with cervicofacial actinomycosis.

Abstract:

:Actinomycosis is a rare, chronic, suppurative, and slowly progressive granulomatous disease caused by a group of filamentous gram-positive anaerobic bacteria belonging to the normal flora of the oral cavity, gastrointestinal, and genitourinary tracts. It may involve several organs; however, spinal cord compression has rarely been reported. We report a 7-year-3-month-old girl who suffered from neck pain with restricted movement, poor appetite, body weight loss, mild right limbs weakness, and a non-tender neck mass. Histopathology of the neck mass revealed sulfur granules of actinomyces. Since actinomycosis was strongly suspected, she was treated with high dose of parenteral penicillin G followed by oral penicillin with complete recovery. The unusual features of our case suggested that actinomycosis should be considered as a differential diagnosis of neck mass and cervical spinal cord compression.

journal_name

Brain Dev

journal_title

Brain & development

authors

Hung PC,Wang HS,Chiu CH,Wong AM

doi

10.1016/j.braindev.2013.08.002

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

634-6

issue

7

eissn

0387-7604

issn

1872-7131

pii

S0387-7604(13)00240-4

journal_volume

36

pub_type

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