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[免疫功能正常患者由伤寒沙门氏菌引起的自发性颈椎椎间盘炎]

[Spontaneous cervical spondylodiscitis caused by Salmonella typhi in an immunocompetent patient].

作者信息

Falavigna Asdrubal, Ferraz Fernando Antonio Patriani

机构信息

Fundação Universidade de Caxias do Sul, Caxias do Sul, RS, Brasil.

出版信息

Arq Neuropsiquiatr. 2002 Dec;60(4):1034-7. doi: 10.1590/s0004-282x2002000600029. Epub 2003 Jan 15.

Abstract

We report a case of spontaneous cervical spondylodiscitis caused by Salmonella typhi. A 52-year-old man presented in the neurosurgical service with complaints of pain in the cervical and scapular region. Cervical inflammatory disease was suggested by bone scintigraphy and magnetic resonance imaging. The diagnosis of Salmonella typhi spondylodiscitis was established by blood culture and culture of needle biopsy specimen taken from the C5 vertebra. The agglutinin titers for Salmonella were elevated. Intravenous ciprofloxacin therapy and external immobilization with a halo vest were instituted. A review of literature was performed evaluating the clinical, diagnostic and therapeutic aspects of this unusual pathology.

摘要

我们报告一例由伤寒沙门氏菌引起的自发性颈椎椎间盘炎病例。一名52岁男性因颈部和肩胛区疼痛就诊于神经外科。骨闪烁显像和磁共振成像提示颈椎炎性疾病。通过血培养及取自C5椎体的针吸活检标本培养确诊为伤寒沙门氏菌椎间盘炎。伤寒沙门氏菌的凝集素滴度升高。给予静脉环丙沙星治疗及使用头环背心进行外固定。我们对文献进行了回顾,评估了这种罕见病理情况的临床、诊断和治疗方面。

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