19 Harley St, London, W1G 9QJ, UK

Acute spinal cord compression caused by disseminated Nocardia infection involving the conus medullaris

Distinguishing between an infective and malignant process provides a diagnostic challenge for clinicians. This case highlights an example of an acute spinal cord compression that could fall into either of these two categories. The diagnosis in this case of disseminated Nocardiosis is an extremely rare cause of acute spinal cord compression and to our knowledge intrinsic conus medullaris infection from Nocardia has not previously been reported in the literature. Nocardia cyriacigeorgica is an emerging strain of Nocardia species recently identified which was previously categorised as Nocardia asteroides type VI infection. The challenge of eliciting the diagnosis and the need to have an index of suspicion of Nocardia as a possible aetiology agent is shown in the report. The case shows this is especially important in evaluation of a multi-system infection in an immunosuppressed individual. The case described highlights an interesting diagnostic case with the resultant causative organism an emerging strain of Nocardia species with no previous reported cases of conus medullaris involvement

Keywords : Aged,Anti-Bacterial Agents,Cauda Equina,complications,diagnosis,Diagnosis,Differential,drug therapy,Female,Humans,Infection,microbiology,Nerve Compression Syndromes,Nocardia Infections,Opportunistic Infections,pathology,Polyradiculopathy,Spinal Cord,Spinal Cord Compression,Spinal Cord Neoplasms,therapeutic use,Treatment Outcome,Victoria,, Spinal,Cord,Compression,Caused,By, generic butrans patch

Date of Publication : 2010 Oct

Authors : Stokes MB;Reardon KA;O’Day J;

Organisation : St Vincent’s Health, Victoria, Australia. mstoker89@hotmail.com

Journal of Publication : Clin Neurol Neurosurg

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/20646828

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Acute spinal cord compression caused by disseminated Nocardia infection involving the conus medullaris | Small fibre neuropathy uk

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810