Longardner Katie, Allen Ahkeel, Ramgopal Moti
Florida State University College of Medicine, Tallahassee, Florida, USA.
BMJ Case Rep. 2013 Jul 10;2013:bcr2013010326. doi: 10.1136/bcr-2013-010326.
A 47-year-old woman with a history of intravenous drug use presented to the emergency department with a 6-month history of pain in her lumbar back and right buttock. She had stopped injecting drugs 1 year ago. Physical examination was unremarkable except for paraspinal and right sacroiliac joint tenderness. MRI confirmed discitis, osteomyelitis and abscess formation in the L5-S1 disc space. She underwent extensive vertebral surgery and debridement of the spinal abscess. Her surgical cultures grew Mycobacterium fortuitum, and she was treated with an appropriate combination of intravenous antimicrobial therapy.
一名有静脉注射毒品史的47岁女性因腰背部和右臀部疼痛6个月就诊于急诊科。她1年前已停止注射毒品。体格检查除椎旁和右骶髂关节压痛外无异常。磁共振成像（MRI）证实腰5-骶1椎间盘间隙存在椎间盘炎、骨髓炎及脓肿形成。她接受了广泛的椎体手术及脊柱脓肿清创术。手术培养物中生长出偶然分枝杆菌，她接受了适当的静脉抗菌治疗联合方案。
