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布鲁氏菌性椎间盘炎致腰椎间盘突出症 1 例报告

Brucellar discitis as a cause of lumbar disc herniation: a case report.

机构信息

Department of Neurosurgery, Baskent University, Ankara, Turkey.

出版信息

Neurol Neurochir Pol. 2010 Sep-Oct;44(5):516-9. doi: 10.1016/s0028-3843(14)60143-2.

Abstract

Brucellosis is an infectious disease spread by consumption of non-pasteurized milk products or through contact with infected animals. Spinal involvement is one of the most important complications and the lumbar area is the most frequently affected site. Among the neurological consequences, nerve root compression can be a result of epidural abscess, granuloma or discitis secondary to vertebral body involvement. In this case report we present a 50-year-old male patient with brucellar discitis without spondylitis which caused lumbar disc herniation. We want to emphasize that discitis should also be considered in differential diagnosis of nerve root compression in suspected cases.

摘要

布氏杆菌病是一种传染病,通过食用未经巴氏消毒的奶制品或接触受感染的动物而传播。脊柱受累是最严重的并发症之一,而腰椎是最常受累的部位。在神经系统的后果中,神经根受压可继发于硬膜外脓肿、肉芽肿或椎体受累引起的椎间盘炎。在本病例报告中,我们介绍了一名 50 岁男性患者,患有布氏杆菌性椎间盘炎而无脊椎炎,导致腰椎间盘突出。我们想强调的是,在疑似病例中,神经根受压的鉴别诊断也应考虑椎间盘炎。

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