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一名前列腺癌患者并发腰椎骨髓炎伴腰大肌脓肿。

Lumbar osteomyelitis with psoas muscle abscess in a patient with prostate cancer.

作者信息

Lucia Martinez-Hernandez, Manuel Portos-Silva Jose, Angel Larraya-Indaberea Jose, Gabriel Galvan-Salazar, Javier Gutierrez-Castillo

机构信息

Department of Infectious Diseases, Hospital Español, Mexico City, Mexico.

Department of Cardiology, Hospital Español, Mexico City, Mexico.

出版信息

IDCases. 2020 Jun 26;21:e00887. doi: 10.1016/j.idcr.2020.e00887. eCollection 2020.

DOI:10.1016/j.idcr.2020.e00887
PMID:32642435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7334485/
Abstract

osteomyelitis is a rare clinical entity more commonly described in grounds of sickle cell disease however some cases has been described in patients without this pathology but an immunocompromised state, which also predisposes to the development of a psoas abscess. We present the case of a 77-year-old man with persistent hip pain and recent diagnosis of prostate cancer who developed lumbar osteomyelitis and a secondary psoas abscess due contiguous spread. Treatment included a third-generation cephalosporine and fluoroquinolone without surgical drainage with a good prognosis overall.

摘要

骨髓炎是一种罕见的临床病症，在镰状细胞病患者中更为常见。然而，也有一些病例发生在没有这种病理情况但处于免疫功能低下状态的患者中，这种状态也易引发腰大肌脓肿。我们报告一例77岁男性病例，该患者持续存在髋部疼痛，近期诊断为前列腺癌，因连续性扩散而发生腰椎骨髓炎和继发性腰大肌脓肿。治疗包括使用第三代头孢菌素和氟喹诺酮，未进行手术引流，总体预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28a8/7334485/d7c6c77d5607/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28a8/7334485/13d8ae594c30/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28a8/7334485/d7c6c77d5607/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28a8/7334485/13d8ae594c30/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28a8/7334485/d7c6c77d5607/gr2.jpg

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本文引用的文献

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Salmonella Osteomyelitis.沙门氏菌骨髓炎
Ulster Med J. 2015 Oct;84(3):171-2.
2
Bug on the back: vertebral osteomyelitis secondary to fluoroquinolone resistant Salmonella typhi in an immunocompetent patient.背部问题：一名免疫功能正常患者因耐氟喹诺酮伤寒沙门菌引发的脊椎骨髓炎
BMJ Case Rep. 2015 Nov 27;2015:bcr2015212503. doi: 10.1136/bcr-2015-212503.
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Osteomyelitis, discitis, epidural and psoas abscess secondary to Salmonella enterica in a man with diabetes mellitus and newly diagnosed α-thalassaemia trait.一名患有糖尿病和新诊断出α地中海贫血特征的男性患者，继发于肠炎沙门氏菌的骨髓炎、椎间盘炎、硬膜外脓肿和腰大肌脓肿。
BMJ Case Rep. 2015 Jan 21;2015:bcr2014207008. doi: 10.1136/bcr-2014-207008.
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Salmonella enterica bacteraemia: a multi-national population-based cohort study.沙门氏菌血流感染：一项基于多国人群的队列研究。
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Psoas abscess caused by non-typhoid Salmonella in a patient with severe aplastic anemia.严重再生障碍性贫血患者由非伤寒沙门氏菌引起的腰大肌脓肿。
Yonsei Med J. 2010 May;51(3):472-4. doi: 10.3349/ymj.2010.51.3.472.
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Spine J. 2009 Nov;9(11):e1-4. doi: 10.1016/j.spinee.2009.06.013. Epub 2009 Aug 5.
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A case of relapsing Salmonella osteomyelitis in a thalassaemia trait patient.地中海贫血症患者复发性沙门氏菌骨髓炎病例报告。
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9
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Am J Orthop (Belle Mead NJ). 2007 Jan;36(1):E5-6.
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