Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Tsukuba, Japan; Department of Head and Neck Surgery, Miyagi Cancer Center, 47-1 Nodayama, Medeshima-Shiode, Natori, Miyagi, Japan.
Department of Head and Neck Surgery, Miyagi Cancer Center, 47-1 Nodayama, Medeshima-Shiode, Natori, Miyagi, Japan.
J Infect Chemother. 2022 Sep;28(9):1332-1335. doi: 10.1016/j.jiac.2022.05.010. Epub 2022 May 28.
In the treatment of head and neck cancer, radiation therapy is an effective modality and is often used in routine clinical practice. Although rare, pyogenic spondylitis has been reported as a complication of radiation therapy. Here, we report a case of nasopharyngeal carcinoma resulting in pyogenic spondylitis from a catheter-related bloodstream infection after chemoradiotherapy. The initial symptoms were fever and posterior cervical pain. Streptococcus dysgalactiae subspecies equisimilis was detected in blood cultures. Magnetic resonance imaging showed abnormal enhancement of the C6 and C7 vertebrae and an anterior epidural abscess. The infection was successfully treated with antibacterial therapy.
在头颈部癌症的治疗中，放射治疗是一种有效的方法，在常规临床实践中经常使用。尽管罕见，但已报道化脓性脊椎炎是放射治疗的一种并发症。在这里，我们报告了一例鼻咽癌患者在放化疗后因导管相关血流感染导致化脓性脊椎炎的病例。最初的症状是发热和颈后疼痛。血培养检出似马链球菌中间亚种。磁共振成像显示 C6 和 C7 椎体异常增强，并伴有前硬脊膜外脓肿。感染经抗菌治疗成功治愈。
