Pina M A, Ara J R, Modrego P J, Juyol M C, Capablo J L
Department of Neurology, Obispo Polanco Hospital, Teruel, Spain.
Eur J Neurol. 1999 Jan;6(1):87-9. doi: 10.1046/j.1468-1331.1999.610087.x.
Spinal epidural abscesses account for approximately one of every 10, 000 admissions to tertiary hospitals. The midthoracic vertebrae are the most frequently affected, whilst the cervical spine is involved in fewer patients. Staphylococcus aureus is identified as the cause in most cases of epidural abscess; other bacteria responsible include Gram-negative bacteria, Streptococcus species and Brucella species. We report the case of a patient with cervical spondylodiscitis at level C4-C5 and an epidural abscess which was compressing the spinal cord and the retropharyngeal space. The previous symptoms of brucellosis were atypical. We discuss the clinical manifestations, diagnosis, treatment and prognosis of the case.
脊柱硬膜外脓肿约占三级医院每10000例入院病例中的1例。胸段脊柱中部最常受累，而颈椎受累的患者较少。在大多数硬膜外脓肿病例中，金黄色葡萄球菌被确定为病因；其他致病细菌包括革兰氏阴性菌、链球菌属和布鲁氏菌属。我们报告了1例C4-C5水平颈椎间盘炎合并硬膜外脓肿压迫脊髓和咽后间隙的患者。既往布鲁氏菌病症状不典型。我们讨论了该病例的临床表现、诊断、治疗及预后。
