Lim S W, Lim H Y, Kannaiah T, Zuki Z
Department of Orthopaedics, Hospital Sungai Buloh, Sungai Buloh, Malaysia.
Malays Orthop J. 2017 Nov;11(3):50-52. doi: 10.5704/MOJ.1711.004.
is an extremely rare cause of pyogenic spondylodiscitis. Literature search yielded only one case report in an elderly 72 years old man with spontaneous T10-T11 spondylodiscitis. It is virtually unheard of in young teenage. We report the case of a 14 years old male teenager who presented with worsening low back pain for one year with no neurological deficit. Imaging studies were consistent with features of L4-L5 spondylodiscitis. CT guided biopsy grew a pure culture of sensitive to penicillin and erythromycin. He showed full recovery with six weeks of intravenous antibiotics. Due to the insidious onset, this case highlight the importance of high clinical suspicion and early diagnosis, with image guided biopsy followed by treatment with appropriate intravenous antibiotics to enable full recovery without further neurological deterioration.
是化脓性脊椎椎间盘炎极为罕见的病因。文献检索仅发现一例关于一名72岁老年男性自发性T10 - T11脊椎椎间盘炎的病例报告。在青少年中几乎闻所未闻。我们报告一例14岁男性青少年病例，该患者下背痛加重一年，无神经功能缺损。影像学检查结果与L4 - L5脊椎椎间盘炎的特征相符。CT引导下活检培养出对青霉素和红霉素敏感的纯培养物。经六周静脉抗生素治疗后他完全康复。由于发病隐匿，该病例凸显了高度临床怀疑和早期诊断的重要性，通过影像引导活检，随后使用适当的静脉抗生素进行治疗，以实现完全康复且无进一步神经功能恶化。
