Shin Wooram, Oh Ju Hwan, Cho A Young, Song In Sup, Kim Young Suk, Lee Kwang Young, Sun In O
Department of Neurosurgery, Presbyterian Medical Center, Jeonju, Korea.
Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
Korean J Fam Med. 2022 Mar;43(2):147-149. doi: 10.4082/kjfm.20.0226. Epub 2022 Mar 17.
Spinal epidural abscess (SEA) caused by Escherichia coli is an uncommon condition. It usually occurs secondary to urinary tract infection (UTI), following hematogenous propagation. Disruption of spinal anatomic barriers increases susceptibility to SEA. Although rarely, such disruption can take the form of lumbar spine stress fractures, which can result from even innocuous activity. Here, we describe a case of SEA secondary to UTI in a patient with pre-existing stress fractures of the lumbar spine, following use of an automated massage chair. Successful treatment of SEA consisted of surgical debridement and a six-month course of antibiotic therapy.
由大肠杆菌引起的脊髓硬膜外脓肿（SEA）是一种罕见病症。它通常继发于尿路感染（UTI），经血液传播所致。脊髓解剖屏障的破坏会增加患SEA的易感性。尽管很少见，但这种破坏可能表现为腰椎应力性骨折，甚至无害的活动都可能导致这种骨折。在此，我们描述一例在使用自动按摩椅后，腰椎已有应力性骨折的患者继发于UTI的SEA病例。SEA的成功治疗包括手术清创和为期六个月的抗生素治疗疗程。
