Kalmoukos Panagiotis, Kouroupis Dimitrios, Sapouridis Georgios, Simoulidou Elisavet, Varouktsi Anna, Zarras Charalampos, Petidis Konstantinos, Pyrpasopoulou Athina
2 Propaedeutic Department of Internal Medicine.
Department of Radiology.
Mediterr J Rheumatol. 2023 Aug 24;34(4):525-530. doi: 10.31138/mjr.240823.asc. eCollection 2023 Dec.
We report the rare case of bacteraemia and secondary spondylodiscitis probably triggered by tooth injury in a rheumatoid arthritis patient. Anaerobic bacteria associated spondylodiscitis may evade diagnosis due to atypical clinical presentation usually lacking fever, and the difficulties related to microbiological characterisation of the pathogen. Even though anaerobic spinal infections may constitute <3% of the total, clinical suspicion should remain high, especially in the case of positive history for pre-existing oral cavity or gastrointestinal/gynaecological tract infections.
我们报告了一例罕见病例，一名类风湿性关节炎患者因牙齿损伤引发菌血症和继发性脊椎椎间盘炎。与厌氧细菌相关的脊椎椎间盘炎可能因通常无发热的非典型临床表现以及病原体微生物特征鉴定的困难而漏诊。尽管厌氧性脊柱感染可能占总数的不到3%，但临床怀疑仍应高度警惕，尤其是在有口腔或胃肠道/生殖道既往感染阳性史的情况下。
