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,...
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Veröffentlicht in: | Brain & development (Tokyo. 1979) 2014-08, Vol.36 (7), p.634-636 |
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creator | Hung, Po-Cheng Wang, Huei-Shyong Chiu, Cheng-Hsun Wong, Alex M.-C |
description | 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. |
doi_str_mv | 10.1016/j.braindev.2013.08.002 |
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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.</description><identifier>ISSN: 0387-7604</identifier><identifier>EISSN: 1872-7131</identifier><identifier>DOI: 10.1016/j.braindev.2013.08.002</identifier><identifier>PMID: 23993830</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Actinomyces ; Actinomycosis ; Actinomycosis, Cervicofacial - complications ; Actinomycosis, Cervicofacial - diagnosis ; Cervical Cord - pathology ; Child ; Compression ; Diagnosis, Differential ; Female ; Humans ; Neurology ; Spinal cord ; Spinal Cord Compression - complications ; Spinal Cord Compression - diagnosis</subject><ispartof>Brain & development (Tokyo. 1979), 2014-08, Vol.36 (7), p.634-636</ispartof><rights>The Japanese Society of Child Neurology</rights><rights>2013 The Japanese Society of Child Neurology</rights><rights>Copyright © 2013 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c550t-fdf709d80d5677d8b5b5a86978a0c5ce00c1dd6437ecd8227163501b8eee5f583</citedby><cites>FETCH-LOGICAL-c550t-fdf709d80d5677d8b5b5a86978a0c5ce00c1dd6437ecd8227163501b8eee5f583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0387760413002404$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23993830$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hung, Po-Cheng</creatorcontrib><creatorcontrib>Wang, Huei-Shyong</creatorcontrib><creatorcontrib>Chiu, Cheng-Hsun</creatorcontrib><creatorcontrib>Wong, Alex M.-C</creatorcontrib><title>Cervical spinal cord compression in a child with cervicofacial actinomycosis</title><title>Brain & development (Tokyo. 1979)</title><addtitle>Brain Dev</addtitle><description>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.</description><subject>Actinomyces</subject><subject>Actinomycosis</subject><subject>Actinomycosis, Cervicofacial - complications</subject><subject>Actinomycosis, Cervicofacial - diagnosis</subject><subject>Cervical Cord - pathology</subject><subject>Child</subject><subject>Compression</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Neurology</subject><subject>Spinal cord</subject><subject>Spinal Cord Compression - complications</subject><subject>Spinal Cord Compression - diagnosis</subject><issn>0387-7604</issn><issn>1872-7131</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFu1DAQhq2qqN0WXqHKkUvSsR3HzgVRrVpAWokDcLYce6J6SeLFzm61b1-HbTlwgYvn8v0z8vcTckOhokCb223VReMnh4eKAeUVqAqAnZEVVZKVknJ6TlbAlSxlA_UluUppCwCUUbggl4y3LVccVmSzxnjw1gxF2vkpDxuiy8-4i5iSD1Php8IU9tEPrnjy82NhfwdCb6zPuLGzn8J4tCH59Ja86c2Q8N3LvCY_Hu6_rz-Xm6-fvqzvNqUVAuayd72E1ilwopHSqU50wqimlcqAFRYBLHWuqblE6xRjkjZcAO0UIopeKH5N3p_27mL4tcc069Eni8NgJgz7pKkQtMkKWvYfaE15PsBoRpsTamNIKWKvd9GPJh41Bb1I11v9Kl0v0jUonaXn4M3LjX03ovsTe7WcgY8nALOUg8eok_U4WXQ-op21C_7fNz78tcIOflqK-4lHTNuwj7m9_B-dmAb9bal-aZ7ynK6h5s8Ux6rh</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Hung, Po-Cheng</creator><creator>Wang, Huei-Shyong</creator><creator>Chiu, Cheng-Hsun</creator><creator>Wong, Alex M.-C</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>20140801</creationdate><title>Cervical spinal cord compression in a child with cervicofacial actinomycosis</title><author>Hung, Po-Cheng ; Wang, Huei-Shyong ; Chiu, Cheng-Hsun ; Wong, Alex M.-C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c550t-fdf709d80d5677d8b5b5a86978a0c5ce00c1dd6437ecd8227163501b8eee5f583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Actinomyces</topic><topic>Actinomycosis</topic><topic>Actinomycosis, Cervicofacial - complications</topic><topic>Actinomycosis, Cervicofacial - diagnosis</topic><topic>Cervical Cord - pathology</topic><topic>Child</topic><topic>Compression</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Humans</topic><topic>Neurology</topic><topic>Spinal cord</topic><topic>Spinal Cord Compression - complications</topic><topic>Spinal Cord Compression - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hung, Po-Cheng</creatorcontrib><creatorcontrib>Wang, Huei-Shyong</creatorcontrib><creatorcontrib>Chiu, Cheng-Hsun</creatorcontrib><creatorcontrib>Wong, Alex M.-C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Brain & development (Tokyo. 1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hung, Po-Cheng</au><au>Wang, Huei-Shyong</au><au>Chiu, Cheng-Hsun</au><au>Wong, Alex M.-C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cervical spinal cord compression in a child with cervicofacial actinomycosis</atitle><jtitle>Brain & development (Tokyo. 1979)</jtitle><addtitle>Brain Dev</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>36</volume><issue>7</issue><spage>634</spage><epage>636</epage><pages>634-636</pages><issn>0387-7604</issn><eissn>1872-7131</eissn><abstract>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.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>23993830</pmid><doi>10.1016/j.braindev.2013.08.002</doi><tpages>3</tpages></addata></record> |
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subjects | Actinomyces Actinomycosis Actinomycosis, Cervicofacial - complications Actinomycosis, Cervicofacial - diagnosis Cervical Cord - pathology Child Compression Diagnosis, Differential Female Humans Neurology Spinal cord Spinal Cord Compression - complications Spinal Cord Compression - diagnosis |
title | Cervical spinal cord compression in a child with cervicofacial actinomycosis |
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