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表现为亚急性背痛的腰椎自发性脓肿。

Spontaneous abscess of the lumbar spine presenting as subacute back pain.

作者信息

Dickson Jon M, Warren Daniel J, Chapman Ann L N, Anoop Unni, Hayat Haleema, Bhattacharya Debapriya

机构信息

SHO (GP VTS1), Health Care of the Elderly, Northern General Hospital, Sheffield, UK.

出版信息

BMJ Case Rep. 2010 Feb 16;2010:bcr1120092505. doi: 10.1136/bcr.11.2009.2505.

DOI:10.1136/bcr.11.2009.2505
PMID:22778378
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3027971/
Abstract

A 52-year-old lady was admitted with back pain, fever and reduced sensation in her left leg. Soon after admission she developed acute urinary retention. She underwent urgent MRI of the spine which showed an epidural abscess compressing the thecal sac which was treated with neurosurgical decompression and intravenous/oral antibiotics. Cultures from theatre grew Staphylococcus aureus sensitive to flucloxacillin. After 12 weeks of intravenous/oral antibiotics, she was discharged without any neurological disability.

摘要

一名52岁女性因背痛、发热和左腿感觉减退入院。入院后不久，她出现急性尿潴留。她接受了脊柱紧急磁共振成像（MRI）检查，结果显示硬膜外脓肿压迫硬膜囊，随后接受了神经外科减压和静脉/口服抗生素治疗。手术室培养物显示金黄色葡萄球菌对氟氯西林敏感。经过12周的静脉/口服抗生素治疗后，她出院时没有任何神经功能障碍。

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