源于胸膜腔积脓的脊柱硬膜外积脓：病例描述及解剖学概述
Spinal epidural empyema extending from a pleural empyema: case description and anatomical overview.
作者信息
Torrealba Acosta Gabriel, Josephy Hernández Sylvia, Castro Ulloa Gabriel, Rodríguez Rojas Greivin
机构信息
Department of Neurology, Caja Costarricense de Seguro Social, San José, Costa Rica.
Department of Neurology, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
出版信息
BMJ Case Rep. 2017 Nov 8;2017:bcr-2017-222019. doi: 10.1136/bcr-2017-222019.
Abstract
We present a case of a patient with diabetes with a pleural empyema originated from a pyomyositis process established after a central line procedure. This empyema later on extended into the spinal canal deriving into an epidural empyema, leading towards a spinal neurogenic shock and death. We discuss the anatomical substrate for this extension as well as the anatomopathological findings observed in the autopsy.
摘要
我们报告一例糖尿病患者，其胸腔积脓源自中心静脉置管术后发生的脓性肌炎。该积脓随后蔓延至椎管，发展为硬膜外积脓，导致脊髓神经源性休克并死亡。我们讨论了这种蔓延的解剖学基础以及尸检中观察到的解剖病理学发现。
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2
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Heart Lung Circ. 2014 Jan;23(1):e20-3. doi: 10.1016/j.hlc.2013.07.015. Epub 2013 Aug 17.
3
Rapidly progressive paraplegia and pleural empyema: how does that correlate?
Gen Thorac Cardiovasc Surg. 2013 Nov;61(11):640-2. doi: 10.1007/s11748-012-0199-8. Epub 2012 Dec 30.
4
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Surg Neurol Int. 2012;3(Suppl 5):S370-6. doi: 10.4103/2152-7806.103871. Epub 2012 Nov 26.
5
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6
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Orthop Traumatol Surg Res. 2010 Nov;96(7):825-8. doi: 10.1016/j.otsr.2010.03.024.
7
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Interact Cardiovasc Thorac Surg. 2004 Jun;3(2):317-8. doi: 10.1016/j.icvts.2004.01.007.
8
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