脊柱椎间盘炎的演变和进展：病例报告。

Evolution and Progression of Spondylodiskitis: A Case Presentation.

机构信息

Department of Physical Medicine and Rehabilitation, Montefiore Medical Center/Albert Einstein College of Medicine, 111 E. 210 Street, Bronx, NY 10467.

Hofstra Northwell School of Medicine, Hofstra University, Hempstead, NY.

出版信息

PM R. 2018 Jan;10(1):97-100. doi: 10.1016/j.pmrj.2017.06.017. Epub 2017 Jun 30.

DOI:10.1016/j.pmrj.2017.06.017

PMID:28673734

Abstract

UNLABELLED

Pyogenic infection of the spinal column is a relatively rare condition. Spondylodiskitis is characterized by infection of the intervertebral disk and the adjacent vertebrae. Diagnosis is often delayed because the symptoms are often nonspecific and also because of the high incidence of nonspecific low back pain in the general population. We report the case of a 42-year-old woman who developed low back pain secondary to spondylodiskitis. Her diagnosis was delayed because of a lack of supporting findings on initial magnetic resonance imaging. The case highlights the clinical scenario in which maintaining a high index of suspicion may lead to follow-up imaging and an accurate diagnosis.

LEVEL OF EVIDENCE

摘要

未注明

脊柱化脓性感染是一种相对罕见的疾病。脊椎炎是指椎间盘和相邻椎体的感染。由于症状通常不典型，且在普通人群中也有很高的非特异性腰痛发生率，因此诊断往往被延误。我们报告了一例 42 岁女性因脊椎炎而出现腰痛。她的诊断因初始磁共振成像缺乏支持性发现而被延误。该病例突出了在何种临床情况下保持高度怀疑可能会导致进行后续影像学检查和准确诊断。