Tew C W, Han F C, Jureen R, Tey B H
Department of General Medicine, Alexandra Hospital, 378 Alexandra Road, Singapore.
Singapore Med J. 2009 Apr;50(4):e151-4.
We present the first reported case of Aspergillus vertebral osteomyelitis and epidural abscess in Singapore in a 50-year-old man with post-tuberculous bronchiectasis. The patient presented with acute urinary retention and flaccid paraplegia. Despite surgical debridement and treatment with voriconazole, the patient developed multiorgan failure and died two weeks after presentation. Early diagnosis and prompt initiation of treatment are emphasised in the hope of improving the outcome of this aggressive condition.
我们报告了新加坡首例曲霉性椎体骨髓炎和硬膜外脓肿病例，患者为一名50岁男性，患有结核后支气管扩张症。该患者表现为急性尿潴留和弛缓性截瘫。尽管进行了手术清创并使用伏立康唑治疗，但患者仍出现多器官功能衰竭，并在就诊两周后死亡。强调早期诊断和及时开始治疗，以期改善这种侵袭性疾病的预后。
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