Department of Orthopaedic Surgery and Traumatology, Clínica Copérnico, Barcelona, Spain.
Spine (Phila Pa 1976). 2010 Mar 1;35(5):E167-71. doi: 10.1097/BRS.0b013e3181be5ea2.
A case report of spontaneous pyogenic spondylodiscitis and epidural abscess in vertebral fracture by an uncommon pathogen is described.
The uncommon presentation of spondylodiscitis with epidural abscess due to Gemella morbillorum after an acute lumbar vertebral fracture treated conservatively is discussed.
Spontaneous spondylodiscitis and epidural abscess in nonsurgical fractures is exceptionally rare. To date its colonization with Gemella morbillorum is not described in the literature. Its resistance to penicillin is also uncommon.
Diagnosis was based on clinical history, hemocultures, samples from CT-scan guided punction and, supported by magnetic resonance imaging.
Clinical and radiologic improvement were observed after treatment based on a combined specific antimicrobial therapy and surgical drainage of epidural abscess.
Spondylodiscitis and epidural abscess secondary to an acute nonsurgical vertebral fracture are rare manifestations. Microbiology and MRI are vital components in diagnosis. An emergency decompression and appropriate antibiotic regimen is the solution for a favorable outcome.
描述了一例由不常见病原体引起的自发性化脓性脊椎炎和硬膜外脓肿的病例报告。
讨论由于急性腰椎骨折后保守治疗导致的罕见表现，即流感奈瑟菌引起的脊椎炎和硬膜外脓肿。
非手术性骨折引起的自发性脊椎炎和硬膜外脓肿非常罕见。迄今为止，文献中并未描述流感奈瑟菌对其的定植。其对青霉素的耐药性也不常见。
诊断基于临床病史、血培养、CT 引导下穿刺样本，并通过磁共振成像支持。
在基于特定抗菌药物治疗和硬膜外脓肿引流的联合治疗后，观察到临床和影像学改善。
继发于急性非手术性椎体骨折的脊椎炎和硬膜外脓肿是罕见表现。微生物学和 MRI 是诊断的重要组成部分。紧急减压和适当的抗生素治疗方案是获得良好结果的关键。
