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伤寒沙门菌性脊椎骨髓炎和硬膜外脓肿

Salmonella Typhi Vertebral Osteomyelitis and Epidural Abscess.

作者信息

Khoo Hau Wei, Chua Ying Ying, Chen John L T

机构信息

Department of Orthopaedics Surgery, Singapore General Hospital, Outram Road, Singapore 169608.

Department of Infectious Diseases, Singapore General Hospital, Outram Road, Singapore 169608.

出版信息

Case Rep Orthop. 2016;2016:6798157. doi: 10.1155/2016/6798157. Epub 2016 Mar 10.

DOI:10.1155/2016/6798157
PMID:27034871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4806280/
Abstract

Salmonella vertebral osteomyelitis is an uncommon complication of Salmonella infection. We report a case of a 57-year-old transgender male who presented with lower back pain for a period of one month following a fall. Physical examination only revealed tenderness over the lower back with no neurological deficits. MRI of the thoracic and lumbar spine revealed a spondylodiscitis at T10-T11 and T12-L1 and right posterior epidural collection at the T9-T10 level. He underwent decompression laminectomy with segmental instrumentation and fusion of T8 to L3 vertebrae. Intraoperatively, he was found to have acute-on-chronic osteomyelitis in T10 and T11, epidural abscess, and discitis in T12-L1. Tissue and wound culture grew Salmonella Typhi and with antibiotics susceptibility guidance he was treated with intravenous ceftriaxone for a period of six weeks. He recovered well with no neurological deficits.

摘要

沙门氏菌性脊椎骨髓炎是沙门氏菌感染的一种罕见并发症。我们报告一例57岁的变性男性病例，该患者在跌倒后出现下背部疼痛达一个月。体格检查仅发现下背部压痛，无神经功能缺损。胸腰椎MRI显示T10 - T11和T12 - L1椎体间盘炎，以及T9 - T10水平右侧硬膜外积液。他接受了减压椎板切除术，并行T8至L3椎体节段性内固定和融合术。术中发现他T10和T11有急性加重的慢性骨髓炎、硬膜外脓肿以及T12 - L1椎间盘炎。组织和伤口培养出伤寒沙门氏菌，在抗生素敏感性指导下，他接受了为期六周的静脉注射头孢曲松治疗。他恢复良好，无神经功能缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1de/4806280/a859b32bebf3/CRIOR2016-6798157.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1de/4806280/60bb9d4ff1ff/CRIOR2016-6798157.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1de/4806280/10200126412c/CRIOR2016-6798157.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1de/4806280/aabbd37bf78f/CRIOR2016-6798157.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1de/4806280/a859b32bebf3/CRIOR2016-6798157.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1de/4806280/60bb9d4ff1ff/CRIOR2016-6798157.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1de/4806280/10200126412c/CRIOR2016-6798157.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1de/4806280/aabbd37bf78f/CRIOR2016-6798157.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1de/4806280/a859b32bebf3/CRIOR2016-6798157.004.jpg

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