Department of Neurosurgery, Yeni Yuzyil University, Medical Faculty, Istanbul, Turkey.
J Coll Physicians Surg Pak. 2022 Dec;32(12):SS151-SS153. doi: 10.29271/jcpsp.2022.Supp0.SS151.
Serratia marcescens infections are very rare and usually occur in the form of nosocomial and opportunistic infections. The subjects usually have severe medical comorbidities such as immunosuppression, diabetes mellitus, and renal failure. Spontaneous Serratia marcescens infection is very rare. In this case, we demonstrate that it can be seen in the spontaneous cervical epidural abscess. A 54-year female patient presented with a complaint of weakness in the left arm. Cervical magnetic resonance imaging revealed a spinal epidural abscess at the C5-6 level. Surgery was planned for this lesion. The abscess that created a cervical mass effect was totally removed and treatment with oral antibiotics was continued due to S. marcescens growth in the culture. This is the first case where S. marcescens has caused the development of a cervical epidural abscess in a patient without any medical comorbidity. Key Words: Serratia marcescens, Spinal epidural abscess, Vertebral osteomyelitis, Cervical discitis.
粘质沙雷氏菌感染非常罕见，通常以医院获得性和机会性感染的形式发生。患者通常有严重的合并症，如免疫抑制、糖尿病和肾衰竭。自发性粘质沙雷氏菌感染非常罕见。在这种情况下，我们证明它可在自发性颈椎硬膜外脓肿中见到。一名 54 岁女性患者以左臂无力为诉就诊。颈椎磁共振成像显示 C5-6 水平的脊髓硬膜外脓肿。由于培养物中存在粘质沙雷氏菌生长，计划对此病变进行手术。切除了导致颈椎肿块效应的脓肿，并继续口服抗生素治疗。这是首例无任何合并症的患者因粘质沙雷氏菌引起颈椎硬膜外脓肿的病例。关键词：粘质沙雷氏菌、脊髓硬膜外脓肿、椎体骨髓炎、颈椎椎间盘炎。
