Han Lei, Keiserrudin M Altaf, Jensen Paul L
Wausau Family Practice Center, Wausau, Wisconsin 54401, USA.
Surg Neurol. 2004 Feb;61(2):142-3; discussion 143-4. doi: 10.1016/s0090-3019(03)00421-x.
Spontaneous discitis is primarily a pediatric illness. Adult patients usually present at an average age of 69 years with a history of diabetes or with a systemic infection. The lumbar spine is the most frequent site of infection (54%), and the cervical is the least at 10%. The causative organisms are most commonly Staphylococcus aureus and beta-hemolytic streptococcus species. Intravenous antibiotics are the mainstays of treatment, and surgical intervention is usually not required.
A single case observation with an unusual presentation from the statistically typical criterion of discitis is described.
Atypical discitis needs to be considered in the differential diagnoses in the middle-aged and healthy population.
自发性椎间盘炎主要是一种儿科疾病。成年患者通常平均年龄为69岁，有糖尿病史或全身性感染史。腰椎是最常见的感染部位（54%），颈椎最少见，为10%。致病微生物最常见的是金黄色葡萄球菌和β溶血性链球菌。静脉注射抗生素是主要治疗方法，通常不需要手术干预。
描述了一例与椎间盘炎统计学典型标准不同的异常表现的病例观察。
在中年健康人群的鉴别诊断中需要考虑非典型椎间盘炎。
