Resurrection Medical Center, Emergency Medicine Residency Program, Chicago, Illinois.
West J Emerg Med. 2012 Dec;13(6):505-6. doi: 10.5811/westjem.2011.9.6767.
A 58-year-old male patient presented to the emergency department with complaints of severe neck pain. He admitted to drug use but denied using intravenous (IV) drugs. On exam, he had a fever of 100.7°F, positive Kernig's sign, and normal neurologic exam. The patient was suspected to have bacterial meningitis and was started on IV antibiotics. The next day the patient developed decreased hand grip. Magnetic resonance imaging of the spine the next day showed a soft-tissue mass impinging on the spinal canal. The patient was subsequently taken to the operating room where the epidural abscess was drained.
一位 58 岁男性患者因严重颈部疼痛到急诊科就诊。他承认有用药史，但否认使用过静脉注射（IV）药物。体格检查时，患者发热 100.7°F，克氏征阳性，神经检查正常。患者疑似患有细菌性脑膜炎，开始接受静脉注射抗生素治疗。第二天，患者手部握力下降。第二天的脊柱磁共振成像显示软组织肿块压迫椎管。随后，患者被送往手术室，硬膜外脓肿被引流。
