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 1

Fingerprint

Thorax
Lower Extremity
Infection
Epidural Abscess
Surgical Decompression
Hypesthesia
Chest Pain
Nervous System
Endoscopy
Gastrointestinal Tract
Early Diagnosis
Rupture
Spine
Fever
Physicians
Therapeutics

Keywords

  • Endoscopy
  • Esophageal rupture
  • Thoracic spinal infection

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Physiology (medical)

Cite this

High thoracic spinal infection following upper gastrointestinal work-up. / Chen, Yung; Kim, Byung Jo; Lee, Sang Heon; Hu, Serena S.

In: Journal of Clinical Neuroscience, Vol. 14, No. 11, 01.11.2007, p. 1132-1135.

Research output: Contribution to journalArticle

@article{0053bd237a2b42b9a0f42685faf38379,
title = "High thoracic spinal infection following upper gastrointestinal work-up",
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.",
keywords = "Endoscopy, Esophageal rupture, Thoracic spinal infection",
author = "Yung Chen and Kim, {Byung Jo} and Lee, {Sang Heon} and Hu, {Serena S.}",
year = "2007",
month = "11",
day = "1",
doi = "10.1016/j.jocn.2006.02.023",
language = "English",
volume = "14",
pages = "1132--1135",
journal = "Journal of Clinical Neuroscience",
issn = "0967-5868",
publisher = "Churchill Livingstone",
number = "11",

}

TY - JOUR

T1 - High thoracic spinal infection following upper gastrointestinal work-up

AU - Chen, Yung

AU - Kim, Byung Jo

AU - Lee, Sang Heon

AU - Hu, Serena S.

PY - 2007/11/1

Y1 - 2007/11/1

N2 - 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.

AB - 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.

KW - Endoscopy

KW - Esophageal rupture

KW - Thoracic spinal infection

UR - http://www.scopus.com/inward/record.url?scp=35348854419&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=35348854419&partnerID=8YFLogxK

U2 - 10.1016/j.jocn.2006.02.023

DO - 10.1016/j.jocn.2006.02.023

M3 - Article

C2 - 17499509

AN - SCOPUS:35348854419

VL - 14

SP - 1132

EP - 1135

JO - Journal of Clinical Neuroscience

JF - Journal of Clinical Neuroscience

SN - 0967-5868

IS - 11

ER -