与艾灸相关手指感染有关的脊髓硬膜外脓肿
Spinal epidural abscess associated with moxibustion-related infection of the finger.
作者信息
Lee Kyung Whan, Han Soo Jeong, Kim Dong Jun, Lee Mee jin
机构信息
Department of Rehabilitation Medicine, School of Medicine, Ewha [corrected] Womans University, Seoul, Republic of Korea.
出版信息
J Spinal Cord Med. 2008;31(3):319-23. doi: 10.1080/10790268.2008.11760732.
Abstract
OBJECTIVE
To describe a spinal epidural abscess that originated from cellulitis after moxibustion.
METHODS
Case report.
FINDINGS
A 78-year-old woman with diabetes mellitus was diagnosed with tetraplegia due to a cervical spinal epidural abscess extending to the thoracic spinal epidural space. The abscess was caused by osteomyelitis and cellulitis of the right third finger, which had been cauterized repeatedly with moxa. After surgical decompression and drainage of the spinal epidural abscess and comprehensive rehabilitation, motor strength and functional level improved.
CONCLUSIONS
This case illustrates the risk of spinal epidural abscess in persons with diabetes mellitus who present with focal cellulitis and osteomyelitis.
摘要
目的
描述一例艾灸后蜂窝织炎引发的脊髓硬膜外脓肿。
方法
病例报告。
结果
一名78岁糖尿病女性因颈段脊髓硬膜外脓肿延伸至胸段脊髓硬膜外间隙而被诊断为四肢瘫。脓肿由右手无名指骨髓炎和蜂窝织炎引起，该手指曾多次接受艾灸烧灼。经脊髓硬膜外脓肿手术减压引流及综合康复治疗后，肌力和功能水平有所改善。
结论
该病例说明了患有局灶性蜂窝织炎和骨髓炎的糖尿病患者发生脊髓硬膜外脓肿的风险。
相似文献
1
Spinal epidural abscess associated with moxibustion-related infection of the finger.与艾灸相关手指感染有关的脊髓硬膜外脓肿
J Spinal Cord Med. 2008;31(3):319-23. doi: 10.1080/10790268.2008.11760732.
2
Reversal of tetraplegia in patients with cervical osteomyelitis--epidural abscess using anterior debridement and fusion.
Spinal Cord. 2001 Oct;39(10):538-40. doi: 10.1038/sj.sc.3101207.
3
[Two cases of pyogenic cervical discitis presenting tetraparesis].两例化脓性颈椎间盘炎伴四肢轻瘫
No Shinkei Geka. 2000 Jul;28(7):631-7.
4
Midline trough corpectomies for the evacuation of an extensive ventral cervical and upper thoracic spinal epidural abscess.行颈椎后路正中切开椎管扩大减压术治疗广泛的颈前部和胸上段硬脊膜外脓肿。
J Neurosurg Spine. 2010 Aug;13(2):229-33. doi: 10.3171/2010.3.SPINE09589.
5
Anterior interbody fuson for cervical osteomyelitis. Reversal of quadriplegia after evacuation of epidural spinal abscess.颈椎骨髓炎的前路椎间融合术。硬膜外脊髓脓肿引流后四肢瘫痪的逆转。
J Neurol Neurosurg Psychiatry. 1972 Feb;35(1):133-6. doi: 10.1136/jnnp.35.1.133.
6
Aggressive thoracic actinomycosis complicated by vertebral osteomyelitis and epidural abscess leading to spinal cord compression.侵袭性胸段放线菌病并发椎体骨髓炎和硬膜外脓肿，导致脊髓受压。
Spine (Phila Pa 1976). 2000 Mar 15;25(6):745-8. doi: 10.1097/00007632-200003150-00017.
7
Hematogenous pyogenic spinal infections and their surgical management.血源性化脓性脊柱感染及其外科治疗
Spine (Phila Pa 1976). 2000 Jul 1;25(13):1668-79. doi: 10.1097/00007632-200007010-00010.
8
Quadriplegia caused by an epidural abscess occurring at the same level of cervical destructive spondyloarthropathy: a case report.颈椎破坏性脊椎关节病同一水平硬膜外脓肿所致四肢瘫：一例报告
BMC Musculoskelet Disord. 2017 Jan 10;18(1):11. doi: 10.1186/s12891-016-1360-9.
9
Haemophilus aphrophilus bacteraemia complicated with vertebral osteomyelitis and spinal epidural abscess in a patient with liver cirrhosis.一名肝硬化患者发生嗜沫嗜血杆菌菌血症，并发椎体骨髓炎和脊髓硬膜外脓肿。
J Infect. 1997 Nov;35(3):304-8. doi: 10.1016/s0163-4453(97)93422-8.
10
Reversal of tetraplegia in a patient with haematogenous cervical epidural abscess.血源性颈椎硬膜外脓肿患者四肢瘫痪的逆转
Acta Orthop Belg. 2011 Aug;77(4):543-7.
引用本文的文献
1
Application of traditional Chinese therapy in sports medicine.中医疗法在运动医学中的应用。
Sports Med Health Sci. 2021 Feb 18;3(1):11-20. doi: 10.1016/j.smhs.2021.02.006. eCollection 2021 Mar.
2
Moxibustion as an Adjuvant Therapy for Chronic Kidney Disease: A Systematic Review and Meta-Analysis of 23 Randomized Controlled Trials.艾灸作为慢性肾脏病的辅助治疗：23项随机对照试验的系统评价和Meta分析
Evid Based Complement Alternat Med. 2020 Oct 28;2020:6128673. doi: 10.1155/2020/6128673. eCollection 2020.
3
Septic pulmonary embolism complicated by pyogenic spondylitis and psoas abscesses in a patient with methicillin-sensitive bacteraemia.一名患有甲氧西林敏感菌血症的患者发生脓毒性肺栓塞，并伴有化脓性脊柱炎和腰大肌脓肿。
Oxf Med Case Reports. 2018 Nov 26;2018(12):omy108. doi: 10.1093/omcr/omy108. eCollection 2018 Dec.
4
Safety of moxibustion: a systematic review of case reports.艾灸安全性：病例报告的系统评价。
Evid Based Complement Alternat Med. 2014;2014:783704. doi: 10.1155/2014/783704. Epub 2014 May 26.
5
Adverse events of acupuncture: a systematic review of case reports.针灸不良反应：病例报告的系统评价。
Evid Based Complement Alternat Med. 2013;2013:581203. doi: 10.1155/2013/581203. Epub 2013 Mar 20.
本文引用的文献
1
Moxibustion, an alternative therapy, ameliorated disturbed circadian rhythm of plasma arginine vasopressin and urine output in multiple system atrophy.艾灸作为一种替代疗法，改善了多系统萎缩患者血浆精氨酸加压素昼夜节律紊乱及尿量异常的情况。
Intern Med. 2007;46(13):1015-8. doi: 10.2169/internalmedicine.46.6450. Epub 2007 Jul 2.
2
Epidural abscesses.硬膜外脓肿
Br J Anaesth. 2006 Mar;96(3):292-302. doi: 10.1093/bja/ael006. Epub 2006 Jan 23.
3
Spinal epidural abscess caused by group B Streptococcus in a diabetic woman presenting with febrile low back pain.一名患有发热性腰痛的糖尿病女性患者，由B族链球菌引起的脊柱硬膜外脓肿。
Jpn J Infect Dis. 2005 Jun;58(3):177-9.
4
Spinal epidural abscess: clinical presentation, management, and outcome.脊柱硬膜外脓肿：临床表现、治疗及预后
Surg Neurol. 2005 Apr;63(4):364-71; discussion 371. doi: 10.1016/j.surneu.2004.08.081.
5
Group B Streptococcus endogenous endophthalmitis : case reports and review of the literature.B族链球菌性内源性眼内炎：病例报告及文献综述
Ophthalmology. 2002 Oct;109(10):1879-86. doi: 10.1016/s0161-6420(02)01225-3.
6
Spinal epidural abscess: a meta-analysis of 915 patients.脊柱硬膜外脓肿：915例患者的荟萃分析
Neurosurg Rev. 2000 Dec;23(4):175-204; discussion 205. doi: 10.1007/pl00011954.
7
Spinal epidural abscesses in children: a 15-year experience and review of the literature.
Clin Infect Dis. 2001 Jan;32(1):9-16. doi: 10.1086/317527. Epub 2000 Dec 8.
8
Cervical spinal epidural abscess due to group B streptococcus in a previously healthy elderly male.一名既往健康的老年男性因B族链球菌感染导致颈椎硬膜外脓肿。
Scand J Infect Dis. 2000;32(5):577. doi: 10.1080/003655400458974.
9
Adverse events in acupuncture and moxibustion treatment: a six-year survey at a national clinic in Japan.针灸治疗中的不良事件：日本一家全国性诊所的六年调查。
J Altern Complement Med. 1999 Jun;5(3):229-36. doi: 10.1089/acm.1999.5.229.
10
Myelopathy secondary to spinal epidural abscess: case reports and a review.脊髓硬膜外脓肿继发脊髓病：病例报告及文献综述
J Spinal Cord Med. 1998 Oct;21(4):348-54. doi: 10.1080/10790268.1998.11719543.
Zotero 插件