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耐甲氧西林金黄色葡萄球菌硬膜外导管相关性椎骨骨髓炎:病例报告及文献复习。

Methicillin-Resistant Staphylococcus aureus Vertebral Osteomyelitis Following Epidural Catheterization: A Case Report and Literature Review.

机构信息

Department of Orthopaedics, School of Medicine, Amrita Institute of Medical Sciences, Cochin, Kerala, India.

出版信息

Global Spine J. 2012 Dec;2(4):231-4. doi: 10.1055/s-0032-1329885. Epub 2012 Nov 19.

DOI:10.1055/s-0032-1329885
PMID:24353973
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3864462/
Abstract

Indwelling epidural catheters are frequently used to manage postoperative pain. This report describes a patient who developed methicillin-resistant Staphylococcus aureus (MRSA) vertebral osteomyelitis of the lumbar spine following epidural catheterization. To the best of our knowledge, this is the first reported case of MRSA vertebral osteomyelitis secondary to epidural catheter use in the English orthopedic literature. The patient and his family consented to publishing the data.

摘要

硬膜外留置导管常用于术后疼痛管理。本报告描述了一例患者在硬膜外导管置入后发生耐甲氧西林金黄色葡萄球菌(MRSA)腰椎骨髓炎。据我们所知,这是英文骨科文献中首例报道的因硬膜外导管使用而导致的 MRSA 椎体骨髓炎病例。患者及其家属同意发表这些数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cb5/3864462/4df47d315016/f120005-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cb5/3864462/1c3de33ae9b4/f120005-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cb5/3864462/4df47d315016/f120005-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cb5/3864462/1c3de33ae9b4/f120005-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cb5/3864462/4df47d315016/f120005-2.jpg

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1
Methicillin-Resistant Staphylococcus aureus Vertebral Osteomyelitis Following Epidural Catheterization: A Case Report and Literature Review.耐甲氧西林金黄色葡萄球菌硬膜外导管相关性椎骨骨髓炎:病例报告及文献复习。
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本文引用的文献

1
Vertebral osteomyelitis, epidural and psoas abscess after epidural catheter use.硬膜外导管使用后发生椎体骨髓炎、硬膜外脓肿和腰大肌脓肿。
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Vertebral osteomyelitis secondary to epidural catheter use: a case report.硬膜外导管使用继发的椎体骨髓炎:一例报告。
Spine (Phila Pa 1976). 2001 Jul 1;26(13):1492-4. doi: 10.1097/00007632-200107010-00023.
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Spinal epidural abscess associated with epidural catheterization: report of a case and a review of the literature.与硬膜外导管插入术相关的脊髓硬膜外脓肿:一例报告及文献复习
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Osteomyelitis following epidural analgesia in an immunocompromised patient.免疫功能低下患者硬膜外镇痛后发生骨髓炎。
Anaesthesia. 1998 Mar;53(3):314-5.
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Iatrogenically induced vertebral osteomyelitis due to Pseudomonas aeruginosa.由铜绿假单胞菌引起的医源性脊椎骨髓炎。
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Anesthesiology. 1996 Jan;84(1):215-7. doi: 10.1097/00000542-199601000-00024.
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Infectious complications associated with temporary epidural catheters.与临时硬膜外导管相关的感染并发症。
Clin Infect Dis. 1994 Nov;19(5):970-2. doi: 10.1093/clinids/19.5.970.