High thoracic spinal infection following upper gastrointestinal work-up

Yung Chen, Byung Jo Kim, Sang Heon Lee, Serena S. Hu

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Spinal infections originating from the gastrointestinal tract are rare. We report a patient in whom esophageal rupture during endoscopy led to spinal infection with neurological deficit. An 80-year-old Asian man with a history of recent endoscopic gastrointestinal investigation presented to our clinic with the chief complaints of upper thoracic discomfort, chest pain and mild intermittent fever. Progressive weakness and numbness in both lower extremities had developed during the previous two weeks. A thoracic spine MRI showed a space-occupying lesion with involvement of the T2 and T3 vertebral bodies including an epidural abscess. After surgical decompression, the patient gradually recovered power in his lower extremities. Early diagnosis is a key factor to avoid neurologic sequelae in the treatment of patients with spinal infection. Physicians need to be aware of this potential complication following endoscopic gastrointestinal investigation.

Original languageEnglish
Pages (from-to)1132-1135
Number of pages4
JournalJournal of Clinical Neuroscience
Volume14
Issue number11
DOIs
Publication statusPublished - 2007 Nov

Keywords

  • Endoscopy
  • Esophageal rupture
  • Thoracic spinal infection

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

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