Hayati Shaharuddin Nor, Leong Chee Loon, Kumar Chidambaram Suresh, Lee Christopher
Hospital Sungai Buloh, Medical Department, Jalan Hospital, Sungai Buloh, Selangor 47000, Malaysia.
Med J Malaysia. 2012 Jun;67(3):337-9.
Paraspinal abscess and spondylodiscitis due to Citrobacter koseri is a very rare condition. We report a remarkable case of Citrobacter koseri bacteraemia complicated by paraspinal abscess and spondylodiscitis in a patient who has successfully been treated in our hospital. Our patient demonstrates one of the common challenges in the practice of infectious disease medicine, wherein an innocuous presentation may and often underlie a serious infection. This case report elucidates to us that the diagnosis of a paraspinal abscess and spondylodiscitis requires a high index of suspicion in at risk patient presenting with compatible signs and symptoms.
由科氏柠檬酸杆菌引起的椎旁脓肿和脊椎椎间盘炎是一种非常罕见的病症。我们报告了一例科氏柠檬酸杆菌菌血症并发椎旁脓肿和脊椎椎间盘炎的显著病例,该患者在我院成功接受了治疗。我们的患者展现了传染病医学实践中的一个常见挑战,即看似无害的表象可能而且常常是严重感染的潜在原因。本病例报告向我们阐明,对于有相关体征和症状的高危患者,诊断椎旁脓肿和脊椎椎间盘炎需要高度的怀疑指数。