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http://dx.doi.org/10.1227/ons.0000000000000897 | DOI Listing |
Front Med (Lausanne)
June 2025
Section of Infectious Diseases, Department of Medicine, Yale University School of Medicine, New Haven, CT, United States.
A middle-aged man, renal transplant recipient, was admitted with lower extremity paralysis, loss of sensation and urinary retention. The initial diagnostic workup revealed extensive inflammatory spinal changes on imaging, consistent with longitudinally extensive transverse myelitis. Cerebrospinal fluid testing demonstrated neutrophilic pleocytosis; routine tests for bacterial and viral pathogens were negative.
View Article and Find Full Text PDFOper Neurosurg
January 2024
Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, UT, USA.
J Neurovirol
August 2020
Department of Neurosurgery, Sir Ganga Ram Hospital, New Delhi, India.
Nocardia is a Gram-positive, partially acid-fast, catalase-positive, and urease-positive bacterium that grows aerobically. We present an extremely rare case of cauda equina syndrome due to isolated intramedullary Nocardia farcinica infection. A 44-year-old male presented with low backache and gradually progressive weakness in bilateral lower limbs followed by paraplegia.
View Article and Find Full Text PDFJ Clin Neurosci
September 2010
Department of Neurosurgery, Greenslopes Private Hospital, Brisbane, Queensland, Australia.
Conus medullaris abscesses are a distinct and rare subset of spinal intramedullary infections. We report a patient with a pyogenic abscess of the conus from which we cultured Nocardia cyriacigeorgica following operative evacuation. This is the first report identifying this species as a pathogen in conus abscess formation.
View Article and Find Full Text PDFJ Orthop Trauma
March 2009
Department of Orthopedic Surgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO 80204, USA.
Posttraumatic osteomyelitis of the tibia represents a major therapeutic challenge and continues to be associated with poor outcomes. In this article, we report on the successful management of a rare case of a Nocardia osteomyelitis of the tibial shaft secondary to intramedullary nailing of a closed fracture in a 19-year-old immunocompetent patient. In addition, we provide a review of the literature in the field and discuss optimized treatment strategies.
View Article and Find Full Text PDF