Bucher E, Trampuz A, Donati L, Zimmerli W
Division of Infectious Diseases, University Hospitals, Basel, Switzerland.
Eur J Clin Microbiol Infect Dis. 2000 Feb;19(2):118-20. doi: 10.1007/s100960050441.
Three cases are reported of spondylodiscitis caused by coagulase-negative staphylococci in patients without osteosynthetic material. All three patients had bacteraemia associated with an infected intravascular device left in place. On the basis of this observation, it is concluded that such devices should be removed promptly in cases of prolonged or relapsing bacteraemia. Furthermore, spondylodiscitis should be suspected in patients with back pain after bacteraemia caused by coagulase-negative staphylococci.
报告了3例无骨合成材料的患者由凝固酶阴性葡萄球菌引起的脊椎椎间盘炎。所有3例患者均有菌血症,且体内留置的血管内装置存在感染。基于这一观察结果,得出结论:在出现长期或复发性菌血症的情况下,应及时移除此类装置。此外,对于凝固酶阴性葡萄球菌引起菌血症后出现背痛的患者,应怀疑患有脊椎椎间盘炎。