Syed Ameena, Afshan Roshan, Tserenpil Gantuya, Manasrah Nouraldeen, Chippi Gina M, Shaik Mohammed Abu Fazal
Internal Medicine, Detroit Medical Center/Wayne State University/Sinai Grace Hospital, Detroit, USA.
Internal Medicine, Weiss Memorial Hospital, Chicago, USA.
Cureus. 2023 Mar 17;15(3):e36286. doi: 10.7759/cureus.36286. eCollection 2023 Mar.
Diagnosis of spondylodiscitis is often challenging, delayed, or even missed due to the uncommonness of the disease, and it can lead to devastating consequences. Therefore, a high index of suspicion is needed for prompt diagnosis and improved long-term outcomes. Vertebral osteomyelitis, or spondylodiscitis, is a rare disease with increasing prevalence due to advanced spinal surgical procedures, nosocomial bacteremia, increased life expectancy, and intravenous drug use. Hematogenous infection is the most common cause of spondylodiscitis. We report a case of a 63-year-old man with a history of liver cirrhosis who initially presented due to abdominal distension. During his hospital stay, he complained of uncontrolled back pain due to spondylodiscitis.
由于脊椎椎间盘炎这种疾病并不常见，其诊断往往具有挑战性，容易延迟，甚至会被漏诊，并且可能导致严重后果。因此，需要高度的怀疑指数以实现及时诊断并改善长期预后。椎体骨髓炎，即脊椎椎间盘炎，是一种罕见疾病，由于先进的脊柱外科手术、医院获得性菌血症、预期寿命延长以及静脉药物使用，其患病率正在上升。血源性感染是脊椎椎间盘炎最常见的病因。我们报告一例63岁男性病例，该患者有肝硬化病史，最初因腹胀就诊。在住院期间，他因脊椎椎间盘炎而抱怨背部疼痛无法控制。
