Sohatee Mark Andrew, Shields David William
NHS, Gateshead, UK.
BMJ Case Rep. 2013 Mar 14;2013:bcr2012008298. doi: 10.1136/bcr-2012-008298.
Vertebral osteomyelitis or discitis is a condition characterised by inflammation to the vertebral disc space and is often related to infection. It usually involves the discovertebral junction, and may extend to the epidural space, posterior vertebral elements and paraspinal tissues. This is an unusual case of a 68-year-old gentleman who presented to hospital confused and unwell with a methicillin-resistant Staphylococcus aureus bacteraemia. Clinical examination and routine investigations revealed no obvious source of infection. Despite thorough examination of his spine, no back pain or focal neurology were elicited, but with no obvious source of infection MRI of the spine was carried out which revealed a vertebral osteomyelitis with paravertebral abscess formation.
脊椎骨髓炎或椎间盘炎是一种以椎间盘间隙炎症为特征的病症，通常与感染有关。它通常累及椎间盘椎体连接部，并可能延伸至硬膜外间隙、椎体后部结构和椎旁组织。这是一例不同寻常的病例，一名68岁男性因耐甲氧西林金黄色葡萄球菌菌血症入院，表现为意识模糊和身体不适。临床检查和常规检查未发现明显的感染源。尽管对其脊柱进行了全面检查，但未引出背痛或局灶性神经功能障碍，但由于没有明显的感染源，遂进行了脊柱磁共振成像检查，结果显示存在脊椎骨髓炎并伴有椎旁脓肿形成。
