Cobo Sánchez José Luis, Gándara Revuelta Magdalena, Cuadrado Mantecón María Eugenia, Sainz Alonso Rosa Ana, Sánchez Cano María Soraya
Nephrology Service, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
J Ren Care. 2012 Sep;38(3):147-50. doi: 10.1111/j.1755-6686.2012.00312.x. Epub 2012 May 2.
To evaluate the prevalence of infectious spondylodiscitis associated with central venous catheters (CVC) for haemodialysis.
Descriptive and retrospective research. Clinical histories of 830 patients with a CVC for haemodialysis in our unit were reviewed from January 1999 to December 2010. Clinical data associated with spondylodiscitis were collected.
Five out of 830 patients reported infectious spondylodiscitis associated with their CVC for haemodialysis. Of the five cases, the average age was 66 years (range 59-72 years), there were four females and one male. Three had diabetic nephropathy. Site of CVC: four jugular, one femoral. Signs and symptoms: fever and leucocytosis 100%, lumbar pain 85%; positive blood cultures 60%; computed axial tomography and magnetic resonance imaging showing signs suggestive of spondylodiscitis or epidural abscess 100%.
Although rare, infectious spondylodiscitis is a serious complication in haemodialysis patients with a CVC as vascular access. It is essential that any alarming sign of infection to be recorded daily and appropriate treatment to initiate in order to avoid fatal complications.
评估与血液透析中心静脉导管（CVC）相关的感染性脊椎椎间盘炎的患病率。
描述性和回顾性研究。回顾了1999年1月至2010年12月期间在我们科室进行血液透析的830例使用CVC患者的临床病史。收集了与脊椎椎间盘炎相关的临床数据。
830例患者中有5例报告了与血液透析CVC相关的感染性脊椎椎间盘炎。在这5例病例中，平均年龄为66岁（范围59 - 72岁），4例为女性，1例为男性。3例患有糖尿病肾病。CVC置入部位：4例为颈内静脉，1例为股静脉。体征和症状：发热和白细胞增多症占100%，腰痛占85%；血培养阳性占60%；计算机断层扫描和磁共振成像显示提示脊椎椎间盘炎或硬膜外脓肿的征象占100%。
尽管罕见，但感染性脊椎椎间盘炎是血液透析患者使用CVC作为血管通路时的一种严重并发症。必须每天记录任何感染的警示迹象并启动适当治疗，以避免致命并发症。
