颈椎椎间盘炎：一种病原体可能掩盖另一种病原体

[Cervical spondylodiscitis: one pathogen may hide another].

作者信息

Toubiana J, Salomon J, Ader F, Perronne C, Carlier R, Bernard L

机构信息

Service des maladies infectieuses, département de médecine aiguë spécialisée, université de Versailles, Saint-Quentin-en-Yvelines, CHU Raymond-Poincaré, 104, boulevard Raymond-Poincaré, 92380 Garches, France.

出版信息

Med Mal Infect. 2006 Jan;36(1):55-7. doi: 10.1016/j.medmal.2005.10.004. Epub 2005 Nov 23.

DOI:10.1016/j.medmal.2005.10.004

PMID:16309869

Abstract

A 54-year-old man presented with tuberculous spondylodiscitis associated to E. coli found in an intervertebral disc space needle biopsy. The enterobacteria came from a cholecystitis. The patient was cured by medical treatment, consisting in a non-surgical immobilization, antitubercular quadritherapy in association with a specific antibiotic treatment. No other case of spondylodiscitis caused by a mycobacterial coinfection pathogen has been reported so far.

摘要

一名54岁男性因椎间盘针吸活检发现结核性脊椎间盘炎合并大肠杆菌感染就诊。肠道杆菌来自胆囊炎。患者通过非手术固定、抗结核四联疗法联合特定抗生素治疗的内科治疗得以治愈。迄今为止，尚无其他由分枝杆菌合并感染病原体引起的脊椎间盘炎病例报道。