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大肠杆菌败血症所致胸椎骨髓炎的外科治疗

Surgical Management of Thoracic Osteomyelitis due to Escherichia Coli Sepsis.

作者信息

Lyons Mark K, Kalani Maziyar, Neal Matthew T, Patel Naresh P

机构信息

Department of Neurological Surgery, Mayo Clinic Arizona, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA.

出版信息

Case Rep Orthop. 2020 Aug 27;2020:8847504. doi: 10.1155/2020/8847504. eCollection 2020.

Abstract

. is a rare cause of vertebral osteomyelitis. It is more common in adults and males. We present a case of an immunocompetent adult male presenting with a several month history of progressive systemic symptoms and subsequent neurologic compromise. We discuss the neurosurgical evaluation of a patient with a progressive vertebral osteomyelitis and treatment options. Surgical debridement and spinal stabilization were performed and confirmed the diagnosis. The patient successfully completed a prolonged antimicrobial therapy course. The patient made a complete neurologic recovery. We discuss the presentation of a patient with vertebral osteomyelitis and the successful surgical management.

摘要

是椎体骨髓炎的罕见病因。在成年人和男性中更为常见。我们报告一例免疫功能正常的成年男性病例,该患者有数月渐进性全身症状病史,随后出现神经功能损害。我们讨论了一名进行性椎体骨髓炎患者的神经外科评估及治疗选择。进行了手术清创和脊柱稳定术,并确诊了病情。患者成功完成了长期抗菌治疗疗程。患者神经功能完全恢复。我们讨论了一名椎体骨髓炎患者的临床表现及成功的手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8d2/7474348/cbfe900485b2/CRIOR2020-8847504.001.jpg

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