静脉药物滥用者的硬膜外脊髓感染。

Epidural spinal infection in intravenous drug abusers.

作者信息

Koppel B S, Tuchman A J, Mangiardi J R, Daras M, Weitzner I

机构信息

Department of Neurology, New York Medical College, Valhalla.

出版信息

Arch Neurol. 1988 Dec;45(12):1331-7. doi: 10.1001/archneur.1988.00520360049011.

DOI:10.1001/archneur.1988.00520360049011

PMID:3058095

Abstract

The incidence of spinal epidural abscess and disk space infection appears to be rising in intravenous drug-using patients. We report 18 cases seen over three years in two municipal hospitals. Staphylococcus aureus was the most common infective agent, but two patients had Mycobacterium tuberculosis infection. Computed tomography of the spine facilitates diagnosis. Early treatment improves outcome but host factors play a role in recovery.

摘要

脊柱硬膜外脓肿和椎间盘间隙感染在静脉吸毒患者中的发病率似乎在上升。我们报告了在两家市级医院三年内收治的18例病例。金黄色葡萄球菌是最常见的感染病原体，但有两名患者感染了结核分枝杆菌。脊柱计算机断层扫描有助于诊断。早期治疗可改善预后，但宿主因素在康复过程中也起作用。