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一名患有类风湿关节炎的免疫抑制患者的脊椎骨髓炎。

Vertebral osteomyelitis in an immunosuppressed patient with rheumatoid arthritis.

作者信息

Giri Upama, Thavalathil Berry Cheriyan, Varghese Roy

机构信息

Appalachian Regional Healthcare Hospital Inc, Hyden, Kentucky, USA.

出版信息

BMJ Case Rep. 2014 Nov 19;2014:bcr2014206944. doi: 10.1136/bcr-2014-206944.

DOI:10.1136/bcr-2014-206944
PMID:25410035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4244390/
Abstract

We report a case of spontaneous osteomyelitis of the cervical spine complicated by epidural abscess due to methicillin-resistant Staphylococcus aureus (MRSA) in a patient with rheumatoid arthritis with no obvious focus of infection or bacteraemia. The patient was on immunosuppressants and complete blood count revealed neutropaenia. He was successfully treated with intravenous antibiotics and surgery.

摘要

我们报告一例颈椎自发性骨髓炎合并硬膜外脓肿的病例，病原体为耐甲氧西林金黄色葡萄球菌（MRSA），患者患有类风湿关节炎，无明显感染灶或菌血症。患者正在使用免疫抑制剂，全血细胞计数显示中性粒细胞减少。他通过静脉使用抗生素和手术治疗成功康复。

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Vertebral osteomyelitis in an immunosuppressed patient with rheumatoid arthritis.一名患有类风湿关节炎的免疫抑制患者的脊椎骨髓炎。
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本文引用的文献

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Clinical practice guidelines by the infectious diseases society of america for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children.美国传染病学会发布的耐甲氧西林金黄色葡萄球菌感染成人和儿童治疗临床实践指南。
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Serious infections caused by methicillin-resistant Staphylococcus aureus.耐甲氧西林金黄色葡萄球菌引起的严重感染。
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BMC Infect Dis. 2010 Jun 7;10:158. doi: 10.1186/1471-2334-10-158.
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Clinical practice. Vertebral osteomyelitis.临床实践。脊椎骨髓炎。
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Follow-up MR imaging in patients with pyogenic spine infections: lack of correlation with clinical features.化脓性脊柱感染患者的随访磁共振成像：与临床特征缺乏相关性。
AJNR Am J Neuroradiol. 2007 Apr;28(4):693-9.
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General principles in the medical and surgical management of spinal infections: a multidisciplinary approach.脊柱感染的医学与外科治疗的一般原则：多学科方法
Neurosurg Focus. 2004 Dec 15;17(6):E1. doi: 10.3171/foc.2004.17.6.1.
7
Diagnostic evaluation of low back pain with emphasis on imaging.以影像学为重点的腰痛诊断评估。
Ann Intern Med. 2002 Oct 1;137(7):586-97. doi: 10.7326/0003-4819-137-7-200210010-00010.
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Vertebral osteomyelitis: long-term outcome for 253 patients from 7 Cleveland-area hospitals.椎体骨髓炎：来自克利夫兰地区7家医院的253例患者的长期预后
Clin Infect Dis. 2002 May 15;34(10):1342-50. doi: 10.1086/340102. Epub 2002 Apr 22.
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Hematogenous pyogenic spinal infections and their surgical management.血源性化脓性脊柱感染及其外科治疗
Spine (Phila Pa 1976). 2000 Jul 1;25(13):1668-79. doi: 10.1097/00007632-200007010-00010.