硬膜外脊髓脓肿的罕见病因。
: A rare cause of an epidural spinal abscess.
作者信息
Casas-Martínez Martín R, Rodríguez-Rubio Héctor A, Bonilla-Suastegui Alfredo, López-Rodríguez Rodrigo, Serrano-Rubio Alejandro, Montes-Aguilar Oscar Josue, Alvarez-Betancourt Leonardo, Morgado-Vazquez Jonathan Samuel
机构信息
Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
Mexico City Spine Clinic, "Dr. Manuel Dufoo Olvera," Mexican Social Security Institute, Mexico City, Mexico.
出版信息
Surg Neurol Int. 2023 Mar 10;14:83. doi: 10.25259/SNI_147_2023. eCollection 2023.
BACKGROUND
, a Gram-negative organism, rarely causes an epidural spinal abscess.
CASE DESCRIPTION
A 50-year-old male presented with mild paraparesis attributed to an magnetic resonance (MR)-documented spinal epidural abscess (SEA) at the T10-level. Following surgical debridement, cultures grew , a rare Gram-negative organism. The abscess was subsequently managed with a prolonged course of antibiotics resulting in complete symptom and MR-documented radiological resolution.
CONCLUSION
A 50-year-old male presented with a T10 SEA attributed to a rare Gram-negative organism, . The abscess was appropriately managed with surgical decompression/debridement, followed by prolonged antibiotic therapy.
背景
[某种革兰氏阴性菌]，一种革兰氏阴性微生物，很少引起硬膜外脊髓脓肿。
病例描述
一名50岁男性因磁共振成像（MR）记录的T10节段脊髓硬膜外脓肿（SEA）出现轻度下肢轻瘫。手术清创后，培养出[某种革兰氏阴性菌]，一种罕见的革兰氏阴性微生物。随后通过延长抗生素疗程对脓肿进行治疗，症状完全消失，MR记录显示影像学上脓肿消退。
结论
一名50岁男性因罕见的革兰氏阴性微生物[某种革兰氏阴性菌]出现T10节段SEA。通过手术减压/清创，随后延长抗生素治疗，脓肿得到了妥善处理。
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