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需要神经外科干预的脊柱感染。

infection of the spine requiring neurosurgical intervention.

作者信息

Lundy Paige, Arnold Paul, Hance Kirk

机构信息

Department of Neurosurgery, The University of Kansas Health System, Kansas City, Kansas.

Department of Neurosurgery, Carle Illinois College of Medicine, Carle Foundation Hospital, Urbana, Illinois, USA.

出版信息

Surg Neurol Int. 2019 Sep 20;10:182. doi: 10.25259/SNI_205_2019. eCollection 2019.

Abstract

BACKGROUND

Infections from , resulting in what is known as Q fever, are relatively rare and difficult to diagnose. Very few reports of spinal infection from have been reported rarely have these cases required surgical intervention.

CASE DESCRIPTION

We report a patient with the previous vascular surgery and Q fever spinal osteomyelitis. Previously reported cases with spinal involvement have described initial infection of vascular grafts in proximity to the spine. Literature on spinal infection from reports only one case that required surgical intervention of the spine. We report a patient with L5-S1 diskitis who required surgical intervention and subsequent percutaneous drainage.

CONCLUSION

Spinal infections from are rare; however, in the setting of a patient with osteodiscitis with negative cultures as well as a history of significant vascular disease with stents, the diagnosis of Q fever should be entertained. Operative and interventional procedures should also be considered in these patients to help alleviate pain and maintain neurologic function.

摘要

背景

由 引起的感染,即所谓的Q热,相对罕见且难以诊断。很少有关于 引起脊柱感染的报道,这些病例很少需要手术干预。

病例描述

我们报告一例曾接受血管手术且患有Q热脊柱骨髓炎的患者。先前报道的脊柱受累病例描述了脊柱附近血管移植物的初始感染。关于 引起脊柱感染的文献仅报道了一例需要脊柱手术干预的病例。我们报告一名患有L5 - S1椎间盘炎的患者,该患者需要手术干预及随后的经皮引流。

结论

由 引起的脊柱感染很罕见;然而,对于骨椎间盘炎培养结果为阴性且有重大血管疾病及支架置入史的患者,应考虑Q热的诊断。对于这些患者,也应考虑手术和介入程序以帮助减轻疼痛并维持神经功能。

需注意,原文中部分“ ”处内容缺失,可能影响对整体内容的准确理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c7f/6778329/50f6480e8a91/SNI-10-182-g001.jpg

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