Morelli S, Carmenini E, Caporossi A P, Aguglia G, Bernardo M L, Gurgo A M
Istituto di Clinica Medica I, Università La Sapienza, Rome, Italy.
Spine (Phila Pa 1976). 2001 Mar 1;26(5):499-500. doi: 10.1097/00007632-200103010-00013.
This study evaluated the association between infective endocarditis and infective spondylodiscitis and its clinical features.
To report case studies of patients with spondylodiscitis complicating infective endocarditis.
Early diagnosis of infective endocarditis as the source of the spondylodiscitis is often difficult because clinical and radiologic patterns are similar to those present in spondylodiscitis alone.
The case records of the patients with infective endocarditis admitted to our Department from 1991-1998 were reviewed. The diagnosis of spondylodiscitis was made on the basis of clinical features and of typical radiologic signs.
Among 30 patients affected by infective endocarditis, three also were affected by spondylodiscitis. All patients fully recovered after appropriate antibiotic therapy.
In all patients with spondylodiscitis, infective endocarditis should be excluded, particularly in patients with a history of heart valve disease.
本研究评估了感染性心内膜炎与感染性脊椎椎间盘炎之间的关联及其临床特征。
报告感染性心内膜炎并发脊椎椎间盘炎患者的病例研究。
由于感染性心内膜炎作为脊椎椎间盘炎病因的早期诊断往往很困难，因为其临床和影像学表现与单纯的脊椎椎间盘炎相似。
回顾了1991年至1998年我院收治的感染性心内膜炎患者的病历。脊椎椎间盘炎的诊断基于临床特征和典型的影像学表现。
在30例感染性心内膜炎患者中，有3例同时患有脊椎椎间盘炎。所有患者经适当的抗生素治疗后均完全康复。
对于所有脊椎椎间盘炎患者，均应排除感染性心内膜炎，尤其是有心脏瓣膜病史的患者。
