Concomitant Cervical Spine Infection with Mycobacterium Tuberculosis and Pyogenic Bacteria Causing Spinal Cord Compression

Abstract

predisposing risk factors such as recent spinal surgery, trauma, instrumentation, distal site of infection, immunosuppression, diabetes. was apyrexial. Physical examination showed marked mid neck tenderness, no palpable masses were felt, no lymph nodes were felt. Neurological examination of his extremities, spasticity was positive, and power was decreased 3/5 in both lower extremities, 2/5 in both upper extremities. Bilateral Babinski signs were present and deep tendon reflexes were increased Full blood count and white blood cell count (WBC) 10,269/L (neutrophils 71.3%; lymphocytes 21.8%; monocytes WBC 4.4 to 11.3/L); C-reactive 6 mg/dL). the the collapsed body of C4 with epidural abscess formation, complicating with spinal abscess A tuberculous granuloma on histology. the diagnosis. Staphylococcus aureus. was with rifampin (600 mg), Isoniazid (300 mg), ethambutol (25 mg/kg), pyrazinamide (25 mg/kg), and 750 mg for two months. This was by seven months of isoniazid and rifampin. The is