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NEUROLOGY 1981;31:204
© 1981 American Academy of Neurology

Spinal epidural abscess due to Actinomyces israelii

Don Walter Kannangara, M.D., Toshiyuki Tanaka, M.D. and Haragopal Thadepalli, M.D.

From the Division of Infectious Diseases (Drs. Kannangara and Thadepalli), Departments of Internal Medicine and Nuclear Medicine (Dr. Tanaka), Charles R. Drew Postgraduate School of Medicine, Martin Luther King, Jr., General Hospital, and UCLA School of Medicine, Los Angeles, CA.

A 31-year-old man had back pain, weight loss, fever, and paraplegia, with radiographic evidence of a left upper lobe lesion and lytic lesions in ribs and vertebral bodies. Gallium uptake was increased over the spine. At surgery we found a paraspinal abscess due to Actinomyces israelii. The patient responded to surgery and penicillin therapy. This is the first report of a case of actinomycotic spinal epidural abscess necessitating emergency surgery since the advent of penicillin.

Address correspondence and reprint requests to Dr. Kannangara, Division of Infectious Diseases, Martin Luther King, Jr., General Hospital, 12021 South Wilmington Avenue, Los Angeles, CA 90059.

Accepted for publication April 21, 1980.




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