Baird R A, Anderson N J, Bloch J H
Orthopedics. 1981 Oct 1;4(10):1127-33. doi: 10.3928/0147-7447-19811001-04.
Salmonella vertebral osteomyelitis of the lumbar spine is encountered as a complication of Salmonella arteritis. Salmonella organisms, especially those of the choleraesuis and typhimurium species, invade the lamina intima of a diseased or atherosclerotic abdominal aorta, penetrate its wall, and cause the formation of a mycotic aneurysm. Further spread of thé infectious process through the aneurysmal aortic wall leads to infection of the retroperitoneum, psoas abscess formation, and osteomyelitis of the adjacent lumbar vertebrae. A review of the literature reveals a 77% mortality rate. Successful treatment of this association requires resection of the abdominal aneurysm and debridement of the retroperitoneum, extra-anatomic bypass grafting, and appropriate antimicrobial therapy.Key Indexing Terms: Salmonella Vertebral Osteomyelitis; Salmonella Aortitis; Mycotic Aortic Aneurysm.
腰椎沙门氏菌性脊椎骨髓炎是沙门氏菌动脉炎的一种并发症。沙门氏菌，尤其是猪霍乱沙门氏菌和鼠伤寒沙门氏菌，侵入患病或动脉粥样硬化的腹主动脉内膜，穿透其管壁，导致霉菌性动脉瘤形成。感染过程通过动脉瘤性主动脉壁进一步扩散，导致腹膜后感染、腰大肌脓肿形成以及相邻腰椎的骨髓炎。文献回顾显示死亡率为77%。成功治疗这种关联需要切除腹主动脉瘤、清创腹膜后组织、进行解剖外旁路移植以及适当的抗菌治疗。关键词：沙门氏菌性脊椎骨髓炎；沙门氏菌性主动脉炎；霉菌性主动脉瘤
