一例表现为脑膜刺激征的全脊髓硬膜外脓肿。
A case of panspinal epidural abscess that presented with meningeal irritation.
作者信息
Okada Naoki, Nishiyama Takashi, Kurihara Maki, Nishimura Yusuke, Nishimura Yoshiro, Ando Yukihiro, Otsubo Saori, Yamada Katsumi, Maeda Yuji
机构信息
Department of Disaster and Emergency Medicine Kobe University Graduate School of Medicine Kobe City Hyogo Japan.
出版信息
Acute Med Surg. 2017 Jul 6;4(3):363-366. doi: 10.1002/ams2.294. eCollection 2017 Jul.
CASE
In rare cases, spinal epidural abscess involves the entire spine and can lead to neurological deficits and sepsis if treatment is delayed or suboptimal. A 65-year-old man was admitted with a diagnosis of bacterial meningitis. After admission, magnetic resonance imaging showed a spinal epidural abscess from the cervical to lumbar spine. Blood culture revealed . The patient was initially treated medically because he had no neurological deficits. Repeat blood culture remained positive and abscesses were found in the mediastinum and bilateral psoas muscles.
OUTCOME
Surgery was carried out and the patient's postoperative course was satisfactory.
CONCLUSION
Spinal epidural abscess can extensively affect the spine and may present with the symptoms of bacterial meningitis. It is essential to examine the entire spine and paraspinal regions and to treat early in cases of spinal epidural abscess.
病例
在罕见情况下，脊柱硬膜外脓肿可累及整个脊柱，如果治疗延迟或不充分，可导致神经功能缺损和脓毒症。一名65岁男性因细菌性脑膜炎入院。入院后，磁共振成像显示从颈椎至腰椎存在脊柱硬膜外脓肿。血培养显示……患者最初接受药物治疗，因为他没有神经功能缺损。重复血培养仍为阳性，且在纵隔和双侧腰大肌发现脓肿。
结果
进行了手术，患者术后病程顺利。
结论
脊柱硬膜外脓肿可广泛累及脊柱，并可能表现为细菌性脑膜炎的症状。对于脊柱硬膜外脓肿病例，检查整个脊柱和椎旁区域并尽早治疗至关重要。
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