儿童结核性硬膜外脓肿：两例报告

Tubercular epidural abscess in children: report of two cases.

作者信息

Kumar Ashok, Singh Alok Kumar, Badole C M, Patond K R

机构信息

Department of Orthopaedics, Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sewagram, Wardha, Maharashtra.

出版信息

Indian J Tuberc. 2009 Oct;56(4):217-9.

PMID:20469734

Abstract

Tubercular spinal epidural abscess (SEA) is an uncommon infectious occurrence. SEA was first described in 1761. Clinical prospects of tubercular SEA are graver, if not promptly diagnosed and treated appropriately. We present two cases of spinal epidural abscess of tubercular etiology who progressed to paraplegia over the course of disease. MRI pointed towards an epidural abscess in the dorsal spine. Histopathological analysis revealed SEA, tubercular in nature in both cases. Patients responded to surgical decompression and anti-tubercular therapy (ATT). Such type of clinical entities has least been documented.

摘要

结核性脊柱硬膜外脓肿（SEA）是一种罕见的感染性疾病。SEA于1761年首次被描述。如果结核性SEA不能及时得到诊断和恰当治疗，其临床预后会更严重。我们报告两例结核性病因的脊柱硬膜外脓肿患者，他们在病程中发展为截瘫。磁共振成像（MRI）显示胸椎硬膜外脓肿。组织病理学分析显示两例均为结核性SEA。患者对手术减压和抗结核治疗（ATT）有反应。这类临床病例记载极少。