Department of Neurology and Neurosurgery, Rigas Austrumu kliniska universitates slimnica, Riga, Latvia
Department of Neurology and Neurosurgery, Rigas Austrumu kliniska universitates slimnica, Riga, Latvia.
BMJ Case Rep. 2021 Sep 20;14(9):e242420. doi: 10.1136/bcr-2021-242420.
This report describes a case of a spondylodiscitis in an immunocompromised patient with an HIV infection caused by The patient was admitted to hospital with a sudden loss of motor function and sensation in both of the patient's legs. A biopsy taken during the first debridement operation proved to be negative for DNA and growth, but was positive for the growth of Following a course of antibiotic therapy and the aforementioned debridement, the patient was moved to a specialised clinic for physical therapy. The patient's condition quickly deteriorated, and the patient once again required extensive debridement. Repeated spinal surgery, antibiotics for 12 weeks and subsequent rehabilitation resulted in almost complete recovery of sensorimotor limb function.
本报告描述了一例由 引起的 HIV 感染免疫功能低下患者的脊椎骨髓炎。患者因双下肢突然丧失运动和感觉功能而住院。第一次清创手术时进行的活检结果显示 DNA 及培养均为阴性，但培养出 。经过抗生素治疗和上述清创术治疗后，患者转至专门的理疗诊所。患者的病情迅速恶化，再次需要广泛清创。反复的脊柱手术、12 周的抗生素治疗和随后的康复治疗使四肢感觉运动功能几乎完全恢复。
