COVID-19 infection leading to lethal spondylodiscitis with spinal abscess
Authors
Abstract:
Background: Secondary complications after SARS-CoV-2 virus infection including cardiovascular and neurological pose additional morbidity and mortality. Till date there no single case report of spondylodiscitis with spinal abscess after CVOID-19 infection. Case Description: A 71- year-old man presented with tachypnea and cough since 24 hours. He was febrile and the CT-chest showed typical picture of bilateral covid19 pneumonia. Nasopharyngeal swab showed a positive PCR for COVID-19. The patient was admitted in the intensive care unit due to low oxygen saturation. Fourty eight hours after admission, the patient started to develop paraparesis which rapidly progressed to paraplegia within a few hours. MRI scan showed multi level spondylodiscitis and epidural abscess in the thoracic spine. Urgent surgery was performed and the Patient was treated medically with hydroxychloroquine and favipravir for COVID-19. Calculated antibiotic treatment with meropenem and vancomycin. No COVID 19 was detected in the abscess samples. The patient passed away later due to multi organ failure. Conclusion: Spondylodiscitis with spinal abscess secondary to COVID-19 infection is a severe condition and might be consequence of dysbalanced immune response with immunodepression after COVID-19 infection.
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Journal title
volume 6 issue None
pages 10- 11
publication date 2020-07
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