A Case of Meningomyeloradiculitis Caused by a Rare Pathogen, Viridans Streptococci
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Meningitis due to viridans streptococci is rare, and post-meningitis spinal involvement resulting in myelopathy or polyradiculopathy is an uncommon neurologic complication of bacterial meningitis. For that reason, there are no reports of post-meningitis spinal involvement due to viridans streptococci. We report the case of a man with meningomyeloradiculitis who presented with flaccid paraplegia after viridans streptococci meningitis. He was diagnosed with meningomyeloradiculitis through clinical, electrodiagnostic, laboratory, and imaging studies. Among the studies conducted, the electrodiagnostic studies were most useful in confirming the diagnosis. Eventually, his motor power in the bilateral lower extremities improved and he was able to walk by himself with a cane. This report is presumably the first to present a case of meningomyeloradiculitis after viridans streptococci infection. Clinicians should be aware of the related complications post-meningitis and perform evaluations of unusual symptoms not associated with meningitis.
Abstract
Meningitis due to viridans streptococci is rare, and post-meningitis spinal involvement resulting in myelopathy or polyradiculopathy is an uncommon neurologic complication of bacterial meningitis. For that reason, there are no reports of post-meningitis spinal involvement due to viridans streptococci. We report the case of a man with meningomyeloradiculitis who presented with flaccid paraplegia after viridans streptococci meningitis. He was diagnosed with meningomyeloradiculitis through clinical, electrodiagnostic, laboratory, and imaging studies. Among the studies conducted, the electrodiagnostic studies were most useful in confirming the diagnosis. Eventually, his motor power in the bilateral lower extremities improved and he was able to walk by himself with a cane. This report is presumably the first to present a case of meningomyeloradiculitis after viridans streptococci infection. Clinicians should be aware of the related complications post-meningitis and perform evaluations of unusual symptoms not associated with meningitis.
참고문헌 (10)
- Enting RH, "Meningitis due to viridans streptococci in adults", J Neurol, 244, pp.435~438 (1997)[DOI]
- Marron A, "Serious Complications of Bacteremia Caused by Viridans Streptococci in Neutropenic Patients with Cancer", Clin Infect Dis, 31, pp.1126~1130 (2000)[DOI]
- Sigurdardottir B, "Acute bacterial meningitis in adults: a 20-year overview", Arch Intern Med, 157, pp.425~430 (1997)[DOI]
- Kikuchi M, "Cauda equina syndrome complicating pneumococcal meningitis", Pediatr Neurol, 20, pp.152~154 (1999)[DOI]
- Wermer MJH, "Reversible paralysis of the legs after acute bacterial meningitis", J Neurol, 253, pp.114~115 (2006)[DOI]
- Lu CH, "Adults with meningitis caused by viridans streptococci", Infection, 29, pp.305~309 (2001)[DOI]
- Rose MR, "Postmeningococcal lumbosacral radiculopathy", J Neurol Neurosurg Psychiatry, 60, pp.459~460 (1996)
- Vania Sousa M, "Meningomyeloradiculitis as an Unusual Presentation of Neuroborreliosis in Childhood", Pediatr Infect Dis J, 34, pp.1132~1133 (2015)[DOI]
- Renard D, "Meningomyeloradiculitis as presenting feature of brucellosis", J Neurol, 253, pp.1651~1652 (2006)[DOI]
- Manteau C, "Acute severe spinal cord dysfunction in a child with meningitis: Streptococcus pneumoniae and Mycoplasma pneumoniae co-infection", Acta Paediatr, 94, pp.1339~1341 (2005)