全脊柱硬膜外脓肿致：文献复习。
Holospinal epidural abscess caused by : a literature review.
机构信息
Emergency Medicine, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, Kobe, Hyogo, Japan
出版信息
BMJ Case Rep. 2022 Dec 1;15(12):e252337. doi: 10.1136/bcr-2022-252337.
Spinal epidural abscess (SEA) usually extends over three to four vertebrae. We present a case of holospinal epidural abscess (HEA) caused by the group (SAG). A man in his 40s with a 2-week history of fever, back pain, and progressive tetraparesis was referred to us from the local hospital. MRI showed epidural fluid collection from C2 to S1. Blood and pus cultures revealed the presence of SAG. He was treated by emergency laminoplasty, epidural drainage and antibiotic treatment. After the 111st hospital day, his manual muscle test was shown to improve; hence, he was transferred for rehabilitation. According to the previous reports, we identified 12 cases of SEA extending from the cervical spine to the sacrum, including our case. For one-fourth of these cases, SAG was the causative organism of this rare SEA. Therefore, SAG should be considered causative organisms in HEA.
硬脊膜外脓肿（SEA）通常延伸超过三个至四个椎体。我们报告了一例由 SAG 引起的全脊柱硬脊膜外脓肿（HEA）。一名 40 多岁的男子，有两周发热、背痛和进行性四肢瘫痪病史，从当地医院转来我院。MRI 显示 C2 至 S1 的硬脊膜外积液。血液和脓液培养显示存在 SAG。他接受了紧急椎板切除术、硬脊膜外引流和抗生素治疗。第 111 天，他的手动肌肉测试显示有所改善，因此转去康复。根据之前的报告，我们确定了 12 例从颈椎到骶骨的 SEA 病例，包括我们的病例。对于其中四分之一的病例，SAG 是这种罕见 SEA 的致病病原体。因此，SAG 应被认为是 HEA 的致病病原体。
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