Stewart Leslie, Sinha Saurabh, Madsen Peter J, Glaser Laurel, Chen H Isaac, Culyba Matthew J
Department of Infectious Diseases, University of Pennsylvania, Philadelphia, PA, USA.
Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA, USA.
Infect Dis Clin Pract (Baltim Md). 2018 Jul;26(4):237-239. doi: 10.1097/IPC.0000000000000565.
We report a case of spinal epidural abscess (SEA) in a 58-year-old woman who had recently been diagnosed with gonococcal infection, but did not receive guideline-recommended therapy. She presented with back pain and signs and symptoms of pelvic inflammatory disease (PID). MRI of the spine demonstrated epidural abscess extending from L4-L5 to T10. She underwent T10-L1 and L3-L4 laminectomies for evacuation of the abscess and and were isolated from the abscess fluid cultures. Our case demonstrates SEA as a rare, but morbid complication of PID and highlights the pathogenic potential of the anaerobic flora associated with PID.
我们报告一例58岁女性脊髓硬膜外脓肿(SEA)病例,该女性近期被诊断为淋球菌感染,但未接受指南推荐的治疗。她出现背痛以及盆腔炎(PID)的体征和症状。脊柱MRI显示硬膜外脓肿从L4-L5延伸至T10。她接受了T10-L1和L3-L4椎板切除术以引流脓肿,脓肿液培养分离出了[此处原文缺失两种细菌名称]。我们的病例表明SEA是PID一种罕见但严重的并发症,并突出了与PID相关的厌氧菌群的致病潜力。