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自发性椎间盘炎的非典型表现:病例报告

Atypical presentation of spontaneous discitis: case report.

作者信息

Han Lei, Keiserrudin M Altaf, Jensen Paul L

机构信息

Wausau Family Practice Center, Wausau, Wisconsin 54401, USA.

出版信息

Surg Neurol. 2004 Feb;61(2):142-3; discussion 143-4. doi: 10.1016/s0090-3019(03)00421-x.

Abstract

BACKGROUND

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.

CASE PRESENTATION

A single case observation with an unusual presentation from the statistically typical criterion of discitis is described.

CONCLUSIONS

Atypical discitis needs to be considered in the differential diagnoses in the middle-aged and healthy population.

摘要

背景

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。

病例报告

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。

结论

在中年健康人群的鉴别诊断中需要考虑非典型椎间盘炎。

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