J Korean Neurosurg Soc.  2006 Oct;40(4):289-292.

Thoracic Actinomycosis Causing Spinal Cord Compression

• Kim IS

Abstract

Thoracic spinal actinomycosis causing epidural abscess and significant spinal cord compression is very rare. A case is presented of a 56-year-old woman with rapid progressive upper back pain and weakness in both legs without evidence of systemic infection. Magnetic resonance imaging revealed a thoracic epidural enhancing lesion at the T1-T5 level. After decompression by laminectomy, precise diagnosis was accomplished using specific histopathological studies of the surgical specimens. A histopathologic findings showing typical Actinomyces sulfur granules surrounded by acute inflammatory cells. The clinical and radiological findings of spinal actinomycosis closely resemble metastatic tumors and other infectious processes. Delay in diagnosis and treatment can significantly worsen the condition of patient.

Keyword

Spinal actinomycosis; Cord compression

MeSH Terms

Actinomyces
Actinomycosis*
Back Pain
Decompression
Diagnosis
Epidural Abscess
Female
Humans
Laminectomy
Leg
Magnetic Resonance Imaging
Middle Aged
Spinal Cord Compression*
Spinal Cord*
Sulfur
Sulfur