Neurology
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Lawrence M. Samkoff, MD, Ahmad Monajati, MD and Joel L. Shapiro, MD

From the Department of Neurology (L.M.S.), University of Rochester School of Medicine and Dentistry, and Departments of Radiology (A.M.) and Pathology (J.L.S.), Rochester General Hospital, Rochester, NY.


Figure 116
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  		Figure 1 Gadolinium-enhanced axial (A) and sagittal (B) T1 fat-saturated MRI of the cervical spine demonstrating intramedullary abscess at the left C3-4 level, associated with enlargement of the spinal cord from C2 to C7

 

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  		Figure 2 Branching, filamentous, beaded bacteria identified within necrotic debris

The microorganisms were stained by GMS (silver) and Fite (modified acid fast) stains; they did not stain on Ziehl-Neelsen (conventional acid fast) or tissue gram stains. The morphologic and staining characteristics are most consistent with Nocardia species. Fite stain at 100x (oil) is shown.

 




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