Sethi Sahiba, Vithayathil Mathew Kurian
Accident and Emergency, King's College Hospital, London, UK.
BMJ Case Rep. 2017 Aug 3;2017:bcr-2016-218510. doi: 10.1136/bcr-2016-218510.
A 64-year-old man with a complex medical history and previous cervical arthritis with discectomy presents with a 2-day history of neck and lower back pain and shortness of breath, associated with left-sided muscle weakness. He has a fever with severe sepsis causing acute renal failure. MRI spine shows evidence of left cervical facet joint septic arthritis at C6-T1. He required 6 weeks of intravenous antibiotics and intensive support with ventilation and haemofiltration. After completion of antibiotics, he made a full recovery and regained neurological function before discharge.
一名64岁男性,有复杂的病史,既往有颈椎病行椎间盘切除术,现出现颈部和下背部疼痛伴呼吸急促2天,伴有左侧肌肉无力。他发热伴严重脓毒症,导致急性肾衰竭。脊柱MRI显示C6-T1左侧颈椎小关节化脓性关节炎。他需要6周的静脉抗生素治疗以及通气和血液滤过的强化支持。抗生素治疗结束后,他完全康复,出院前恢复了神经功能。