{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:24:54Z","timestamp":1761823494051},"reference-count":33,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:p>The authors present the case of an isolated gonococcal paravertebral abscess with an epidural component in a 42-year-old man. A primary epidural abscess of the spine is a rare condition and is most commonly caused by <jats:italic>Staphylococcus aureus<\/jats:italic>. In this report, the authors present their therapeutic decisions and review the relevant literature on disseminated gonococcal infection in a patient presenting with an epidural abscess.<\/jats:p>\n<jats:p>A 42-year-old Indonesian man was admitted with symptoms of neck and upper back pain and bilateral lower-limb weakness. Clinical examination was unremarkable apart from tenderness over the lower cervical spine. Postgadolinium T1-weighted MRI of the cervical and thoracic spine demonstrated an enhancing lesion in the right paraspinal and epidural soft tissue at C-6 to T1\u20132, in keeping with a spinal epidural abscess. The patient underwent laminectomy of C-7 and T-1 with abscess drainage. Tissue cultures subsequently grew <jats:italic>Neisseria gonorrhoeae<\/jats:italic> that was resistant to quinolones by genotyping. Upon further questioning, the patient admitted to unprotected sexual intercourse with commercial sex workers. Further investigations showed that he was negative for other sexually transmitted infections. Postoperatively, he received a course of beta-lactam antibiotics with good recovery. Clinicians should be aware of this unusual disseminated gonococcal infection manifested in any patient with the relevant risk factors.<\/jats:p>","DOI":"10.3171\/2012.4.spine11914","type":"journal-article","created":{"date-parts":[[2012,5,11]],"date-time":"2012-05-11T14:10:19Z","timestamp":1336745419000},"page":"93-97","source":"Crossref","is-referenced-by-count":8,"title":["Neisseria gonorrhoeae paravertebral abscess"],"prefix":"10.3171","volume":"17","author":[{"given":"Sharon Y. Y.","family":"Low","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, National Neuroscience Institute;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine W. M.","family":"Ong","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, Department of Medicine;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Po-Ren","family":"Hsueh","sequence":"additional","affiliation":[{"name":"Divisions of Clinical Microbiology and Infectious Diseases, Departments of Laboratory Medicine and Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul Ananth","family":"Tambyah","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, Department of Medicine;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tseng Tsai","family":"Yeo","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, National University Health System, Singapore; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-spine11914","series-title":"Int Orthop","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1007\/s002640050340","article-title":"Spinal epidural abscess\u2014a report of six cases","volume":"23","author":"Anand","year":"1999"},{"key":"b2-spine11914","series-title":"MMWR Weekly","first-page":"1052","article-title":"Notice to readers: discontinuation of Cefixime tablets\u2014United States","volume":"51","author":"Centers for Disease Control and Prevention","year":"2002"},{"key":"b3-spine11914","series-title":"Updated Recommended Treatment Regimens for Gonococcal Infections And Associated Conditions - United States, April 2007","author":"Centers for Disease Control and Prevention"},{"key":"b4-spine11914","series-title":"Ann Acad Med Singapore","first-page":"639","article-title":"A decade of PPNG in Singapore","volume":"16","author":"Chan","year":"1987"},{"key":"b5-spine11914","series-title":"J Clin Microbiol","doi-asserted-by":"publisher","first-page":"3833","DOI":"10.1128\/JCM.01041-06","article-title":"Disseminated gonococcal infection in an immunocompetent patient caused by an imported Neisseria gonorrhoeae multidrug-resistant strain","volume":"44","author":"Dal Conte","year":"2006"},{"key":"b6-spine11914","series-title":"Ann Intern Med","doi-asserted-by":"publisher","first-page":"470","DOI":"10.7326\/0003-4819-75-3-470","article-title":"The gonococcal arthritis-dermatitis syndrome","volume":"75","author":"Holmes","year":"1971"},{"key":"b7-spine11914","series-title":"Emerg Infect Dis","doi-asserted-by":"publisher","first-page":"60","DOI":"10.3201\/eid1001.030171","article-title":"Ciprofloxacin-resistant Salmonella enterica Typhimurium and Choleraesuis from pigs to humans, Taiwan","volume":"10","author":"Hsueh","year":"2004"},{"key":"b8-spine11914","series-title":"AJNR Am J Neuroradiol","first-page":"693","article-title":"Follow-up MR imaging in patients with pyogenic spine infections: lack of correlation with clinical features","volume":"28","author":"Kowalski","year":"2007"},{"key":"b9-spine11914","series-title":"CJEM","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1017\/S1481803500014603","article-title":"Spinal epidural abscess","volume":"7","author":"Louis","year":"2005"},{"key":"b10-spine11914","series-title":"Chir Main","first-page":"335","article-title":"[Isolated gonococcal tenosynovitis. 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