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一名73岁男性，颈椎骨髓炎表现为尿脓毒症。

A 73-Year-Old Male with Cervical Spine Osteomyelitis Presenting as Urosepsis.

作者信息

Kakarlapudi H, Speirs S, Lal A P, Alaie D, Petrillo R, Ashraf M B, Kolanuvada B, Bhargava M

机构信息

PGY2 Resident, Montefiore Mount Vernon Hospital, Mount Vernon, NY, USA.

Medical Student, St. George's University School of Medicine, Grenada.

出版信息

Clin Med Insights Case Rep. 2015 Dec 20;8:105-7. doi: 10.4137/CCRep.S31253. eCollection 2015.

DOI:10.4137/CCRep.S31253
PMID:26715867
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4687975/
Abstract

Vertebral osteomyelitis is a serious debilitating infection if not detected early. Involvement of cervical vertebrae is usually seen in the presence of specific risk factors. Urinary tract infection commonly spreads to the lumbar vertebrae. This is a case presentation of an elderly male who, in the absence of specific risk factors for cervical osteomyelitis, presented with symptoms of urinary tract infection and was found to have cervical spine osteomyelitis.

摘要

如果不及早发现，脊椎骨髓炎是一种严重使人虚弱的感染。颈椎受累通常在存在特定风险因素的情况下出现。尿路感染通常会蔓延至腰椎。本文介绍了一例老年男性病例，该患者在没有颈椎骨髓炎特定风险因素的情况下，出现尿路感染症状，随后被发现患有颈椎骨髓炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a446/4687975/a8c675399afb/ccrep-8-2015-105f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a446/4687975/a8c675399afb/ccrep-8-2015-105f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a446/4687975/a8c675399afb/ccrep-8-2015-105f1.jpg

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本文引用的文献

1
Cervical spine osteomyelitis and epidural abscess after chemoradiotherapy for hypopharyngeal carcinoma: a case report.下咽癌放化疗后颈椎骨髓炎和硬膜外脓肿：一例报告
Case Rep Otolaryngol. 2014;2014:141307. doi: 10.1155/2014/141307. Epub 2014 Mar 4.
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Cervical osteomyelitis after carbon dioxide laser excision of recurrent carcinoma of the posterior pharyngeal wall.二氧化碳激光切除咽后壁复发性癌后的颈椎骨髓炎。
Ann Otol Rhinol Laryngol. 2013 Apr;122(4):273-6. doi: 10.1177/000348941312200410.
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Cervical spine complications after treatment of nasopharyngeal carcinoma.
鼻咽癌治疗后的颈椎并发症。
Eur Spine J. 2013 Mar;22(3):584-92. doi: 10.1007/s00586-012-2600-9. Epub 2012 Dec 1.
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Cervical spinal epidural abscess after oesophagoscopy.食管镜检查后颈椎硬膜外脓肿。
Eur Spine J. 2013 May;22 Suppl 3(Suppl 3):S369-72. doi: 10.1007/s00586-012-2478-6. Epub 2012 Aug 24.
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Pyogenic vertebral osteomyelitis in a breast cancer patient: report of a case.乳腺癌患者化脓性脊椎骨骨髓炎：病例报告。
Surg Today. 2012 Oct;42(10):1022-5. doi: 10.1007/s00595-012-0158-0. Epub 2012 Mar 1.
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Clinical significance of Staphylococcus aureus bacteriuria in a nationwide study of adults with S. aureus bacteraemia.全国性研究成人金黄色葡萄球菌菌血症患者中金黄色葡萄球菌菌尿的临床意义。
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