Alsubaie Sarah, Dolgum Saeed, Binkhamis Khalifa, Alweijri Ikhlass, Bugshan Amani, Alzamil Fahad
Pediatric Infectious Diseases Unit, Department of Pediatric, King Saud University Medical City, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Pediatric Infectious Diseases Unit, Department of Pediatric, King Saud University Medical City, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Anaerobe. 2019 Apr;56:57-60. doi: 10.1016/j.anaerobe.2019.02.002. Epub 2019 Feb 7.
Spinal intramedullary abscesses are rare and potentially devastating lesions. Infection is mostly caused by staphylococci. Anaerobes are rare and often polymicrobial. We report an unusual case of spinal cord intramedullary abscess in a 7-month-old infant with monomicrobial infection due to Finegoldia magna. She was found to have a missed congenital thoracic dermal sinus. The patient was treated with metronidazole and ceftriaxone for 8 weeks, and improvement of the infection was documented. Clinical awareness of patients at risk is crucial for early diagnosis and intervention. As detection methods continue to improve for Finegoldia magna, it is important to increase awareness of the pathogenic role of this organism.
脊髓髓内脓肿是罕见且可能具有毁灭性的病变。感染主要由葡萄球菌引起。厌氧菌罕见且常为多微生物感染。我们报告了一例7个月大婴儿发生的不寻常脊髓髓内脓肿病例，该病例由巨大芬戈尔德菌引起单一微生物感染。发现患儿有一处漏诊的先天性胸段皮样窦道。患者接受甲硝唑和头孢曲松治疗8周，感染情况有所改善。对有风险的患者提高临床认知对于早期诊断和干预至关重要。随着对巨大芬戈尔德菌检测方法的不断改进，提高对该病原体致病作用的认识很重要。
