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一名镰状细胞病患者出现双侧腰大肌脓肿和椎体骨髓炎。

Bilateral psoas abscesses and vertebral osteomyelitis in a patient with sickle cell disease.

作者信息

Asnani M, Williams E W, Cawich S, Reid M, Mansingh A, Shah S, Williams-Johnson Jean

机构信息

TMRI, Sickle Cell Unit, University of the West Indies, Kingston, Jamaica.

出版信息

BMJ Case Rep. 2010 Sep 20;2010:bcr0120102642. doi: 10.1136/bcr.01.2010.2642.

DOI:10.1136/bcr.01.2010.2642
PMID:22778281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3030285/
Abstract

The authors present a case of a patient with sickle-β thalassaemia (Sβ(0) Thal) who had bilateral psoas abscesses on a background of splenectomy in early childhood. The patient also turned out to have vertebral osteomyelitis and hydronephrosis on the side of the larger abscess. The only organism recovered from the patient was a Bacteroides species. The patient was managed with percutaneous drainage and intravenous antibiotics and made a full recovery.

摘要

作者报告了一例镰状-β地中海贫血(Sβ(0) 地中海贫血)患者的病例,该患者在幼儿期脾切除术后出现双侧腰大肌脓肿。该患者还被发现患有椎体骨髓炎以及较大脓肿一侧的肾盂积水。从患者身上分离出的唯一病原体是一种拟杆菌属细菌。该患者接受了经皮引流和静脉抗生素治疗,并完全康复。

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本文引用的文献

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Bacteroides fragilis bacteremia associated with vertebral osteomyelitis in a sickle cell patient.一名镰状细胞病患者发生与脊椎骨髓炎相关的脆弱拟杆菌菌血症。
Intern Med. 2008;47(24):2183-5. doi: 10.2169/internalmedicine.47.1271. Epub 2008 Dec 15.
2
Bacteroides fragilis vertebral osteomyelitis: case report and a review of the literature.脆弱拟杆菌性脊椎骨髓炎:病例报告及文献综述
South Med J. 2007 May;100(5):506-11. doi: 10.1097/01.smj.0000262587.48592.56.
3
Ceftriaxone-resistant Salmonella septicemia and osteomyelitis in sickle cell disease adults.镰状细胞病成人患者中对头孢曲松耐药的沙门氏菌败血症和骨髓炎
South Med J. 2006 Jun;99(6):625-7. doi: 10.1097/01.smj.0000220882.84566.9f.
4
Bilateral psoas abscess in a case of granuloma inguinale.腹股沟肉芽肿病例中的双侧腰大肌脓肿
West Indian Med J. 2005 Oct;54(5):343-5. doi: 10.1590/s0043-31442005000500015.
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Psoas abscess: report of a series and review of the literature.腰大肌脓肿:系列病例报告及文献综述
Neth J Med. 2005 Nov;63(10):413-6.
6
Acute haematogenous anaerobic osteomyelitis in sickle cell disease. A case report and review of the literature.
West Indian Med J. 2003 Mar;52(1):53-5.
7
Hematogenous anaerobic vertebral osteomyelitis due to Bacteroides fragilis in a diabetic patient.一名糖尿病患者因脆弱拟杆菌引起的血源性厌氧性椎体骨髓炎。
Eur J Intern Med. 2003 Feb;14(1):63-64. doi: 10.1016/s0953-6205(02)00214-5.
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Primary psoas abscess. Report of three cases.原发性腰大肌脓肿。三例报告。
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Psoas abscess: a primer for the internist.腰大肌脓肿:内科医生入门指南。
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