Biomedical subjects
Publications and source records attributed to B J Bakhtian.
Cryptococcal spinal arachnoiditis occurs in patients with meningitis and usually when they are immunocompromised. It is rare in children. We report a child without evidence of immunologic abnormality who developed paraparesis due to a primary cryptococcal arachnoiditis without meningitis and who improved with adequate therapy.
We have recently cared for two patients with spinal sepsis secondary to infection with Streptococcus milleri. One patient had a spinal epidural abscess and the other had meningitis as well as a spinal subdural empyema. A review of the English-language literature revealed only two previously reported cases of spinal epidural abscess due to S. milleri and no cases of spinal subdural empyema due to S. milleri. We report two cases of spinal sepsis due to S. milleri and discuss pertinent literature.