Yu Wei-Yang, Zhu Ke-Jun, Li Qiao-Ping, Lou Chao, He Deng-Wei
Department of Orthopaedic Surgery, Zhejiang University, Lishui Municipal Central Hospital, Lishui, Zhejiang, 323000, P.R. China.
Rev Assoc Med Bras (1992). 2019 Jun 3;65(5):678-681. doi: 10.1590/1806-9282.65.5.678.
We describe the case of a diabetic patient who developed vertebral osteomyelitis and bilateral psoas abscess with gas formation due to klebsiella pneumoniae.
A 64-year-old woman with a 4-year history of type-2 diabetes mellitus was admitted to the Emergency Department. The subject had a 2-day history of high-grade fever associated with chills and a 5-hour history of consciousness. She received empirical treatment with febrifuge, after which her fever decreased.
Her fever recurred after an interval of three hours. A computed tomography scan of the abdomen revealed vertebral osteomyelitis and bilateral psoas muscle abscess with gas formation. Blood culture and purulent fluid described the growth of the Klebsiella pneumoniae. The patient received antibiotic therapy and bilateral drainage therapy after the drainage catheter was placed into the abscess cavity by CT-guidance. Due to the serious damage to the vertebral column and permanent pain, the patient underwent minimally invasive internal spinal fixation and recovered successfully.
A case of vertebral osteomyelitis and bilateral psoas abscess with gas formation caused by Klebsiella pneumoniae in a diabetic patient. Antibiotic therapy, drainage, and minimally invasive internal spinal fixation were performed, which enabled a good outcome.
我们描述一例糖尿病患者因肺炎克雷伯菌感染发生椎体骨髓炎及双侧腰大肌脓肿并伴有气体形成的病例。
一名有4年2型糖尿病病史的64岁女性入住急诊科。该患者有2天高热伴寒战病史及5小时意识障碍病史。她接受了退烧药的经验性治疗，之后体温下降。
3小时后体温再次升高。腹部计算机断层扫描显示椎体骨髓炎及双侧腰大肌脓肿并伴有气体形成。血培养及脓性液体培养显示有肺炎克雷伯菌生长。在CT引导下将引流导管置入脓肿腔后，患者接受了抗生素治疗及双侧引流治疗。由于脊柱严重受损及持续性疼痛，患者接受了微创脊柱内固定术并成功康复。
一名糖尿病患者因肺炎克雷伯菌感染发生椎体骨髓炎及双侧腰大肌脓肿并伴有气体形成。实施了抗生素治疗、引流及微创脊柱内固定术，取得了良好疗效。
