A case of cervical discitis presenting as a acute bacterial meningitis after                  velopharyngoplasty

J Korean Neurol Assoc > Volume 15(3); 1997 > Article

Journal of the Korean Neurological Association 1997;15(3): 701-706.

구개범인두형성술 이후 세균성 뇌막염으로 발현된 경추간판염의 증례

이필휴, 이숭현, 최영철, 정태섭

연세대학교 의대 영동세브란스병원 신경과. 진단방사선과

A case of cervical discitis presenting as a acute bacterial meningitis after velopharyngoplasty

Phil-Hyu Lee, M.D., Soong-Hyun Lee, M.D., Young-Chul Choi,M.D., Tae-Sub Chung, M.D.

Department of neurology and neuroradiology, Yongdong severance hospital, Yonsei University, College of Medicine

Abstract

Infectious discitis(spondylitis) in adult is rare, accounting for only 5% of all cases Of pyogenic osteomyelitis. Because clinical picture is often nonspecific, diagnosis in early stage is difficult. Therefore, both radiographic and microbiological criteria are need to establish the diagnosis. We report a case of cervical discitis presenting as a acute bacterial meningitis after velopharyngoplasty. Cervical MRI showed C2 C3 disc space narrowing and inhomogenous signal intensity of C2 and C3 vertebral bodies which was compatible with pyogenic discitis. His initial presenting bacterial meningitis proved by CSF examination was secondary to cervical discitis and required prolonged antibiotic theraphy. To the best of our knowledge, this is the first case of primary cervical discitis with bacterial meningitis in Korea.