NEUROLOGICAL COMPLICATIONS IN PATIENTS WITH MULTIPLE SEPTIC DETERMINATIONS - CASE REPORT
Abstract:
The presented case is that of a 67 year-old patient, having febrile syndrome associated with neurological signs and laboratory manifestations leading initially to the PRN diagnosis (acute polyradiculoneuritis). Complex exploration and multidisciplinary approach to the case contributed to the diagnosis of certainty in a relatively short time and appropriate therapeutic approach. The peculiarity of the case is the cervical disc infection, possibly by blood, being caused by a distant outbreak with golden methicillin-resistant Staphylococcus, spinal abscesses usually having lumbar or thoracic location. Surgical approach has been tampered with posterior cervical laminectomy C2-C3, C3-C4, with posterior decompression of cervical spinal canal and discharge of previous epidural abscess. Postoperative evolution was slowly favourable, with improved motor deficit and neck pain, but it was influenced by immobilization complications.
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