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免疫功能正常患者中由[具体病因未给出]引起的脊椎椎间盘炎的首例报告:临床病例及文献综述

First report of spondylodiscitis caused by in an immunocompetent patient: Clinical case and review of the literature.

作者信息

Russo Alessandro, Tarantino Umberto, d'Ettorre Gabriella, Della Rocca Carlo, Ceccarelli Giancarlo, Gasbarra Elena, Venditti Mario, Iundusi Riccardo

机构信息

Policlinico "Umberto I", Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Italy.

Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", "Policlinico Tor Vergata" Foundation, Rome, Italy.

出版信息

IDCases. 2021 Jan 26;23:e01058. doi: 10.1016/j.idcr.2021.e01058. eCollection 2021.

Abstract

is mainly considered an opportunistic pathogen in immunocompromised patients. However, many different infections have been described in the literature: bacteremia, abscesses, meningitis, endophthalmitis, and wound infections. We observed a spondylodiscitis caused by in an immunocompetent patient. To date, this is the first case reported in literature. Vertebral osteomyelitis represents for clinicians a challenging infection to manage and treat, because of its insidious and indolent course. The diagnosis is frequently difficult and can often be delayed for several months and initially be misdiagnosed and mismanaged. For this reason, the clinical case was described and all published cases of infection caused by were reviewed.

摘要

主要被认为是免疫功能低下患者中的一种机会性病原体。然而,文献中描述了许多不同的感染:菌血症、脓肿、脑膜炎、眼内炎和伤口感染。我们在一名免疫功能正常的患者中观察到由[病原体名称未给出]引起的脊椎椎间盘炎。迄今为止,这是文献中报道的首例病例。由于其隐匿和进展缓慢的病程,椎体骨髓炎对临床医生来说是一种难以管理和治疗的感染。诊断通常很困难,常常会延迟数月,最初还可能被误诊和误治。因此,描述了该临床病例并对所有已发表的由[病原体名称未给出]引起的感染病例进行了回顾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bae/7851335/eebb3290c351/gr1.jpg

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