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椎旁肌注射四年后发生的化脓性脊柱炎。

Pyogenic Spondylitis Four Years After an Injection Into the Paraspinal Muscles.

作者信息

Shinta Yamamoto, Hori Masatochi, Okada Hiroshi

机构信息

Internal Medicine, Matsushita Memorial Hospital, Osaka, JPN.

Emergency Medicine, Matsushita Memorial Hospital, Osaka, JPN.

出版信息

Cureus. 2024 Jul 18;16(7):e64810. doi: 10.7759/cureus.64810. eCollection 2024 Jul.

DOI:10.7759/cureus.64810
PMID:39156364
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11330084/
Abstract

In the context of local injection techniques, there are infectious complications such as epidural abscesses and pyogenic spondylitis. An 83-year-old female who received an injection into the paraspinal muscles for lower back pain four years ago developed a paraspinal muscle abscess accompanied bymethicillin-susceptible bacteremia and multiple sites of pyogenic spondylitis. Non-surgical treatment was followed with 73 days of antibiotic therapy by cefazoline. We noted an improvement in inflammatory response in blood tests and findings of inflammation on imaging tests. Instances of delayed-onset infectious complications several years after simple local injection techniques are rare.

摘要

在局部注射技术的背景下，存在诸如硬膜外脓肿和化脓性脊柱炎等感染性并发症。一名83岁女性四年前因下背部疼痛接受了椎旁肌注射，之后出现了椎旁肌脓肿，并伴有对甲氧西林敏感的菌血症和多处化脓性脊柱炎。采用头孢唑林进行了73天的抗生素治疗，采取了非手术治疗。我们注意到血液检查中的炎症反应以及影像学检查中的炎症表现有所改善。简单的局部注射技术几年后出现延迟性感染并发症的情况很少见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a0/11330084/4441a22e70e9/cureus-0016-00000064810-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a0/11330084/90622df911e2/cureus-0016-00000064810-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a0/11330084/1d3606dfecd4/cureus-0016-00000064810-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a0/11330084/4441a22e70e9/cureus-0016-00000064810-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a0/11330084/90622df911e2/cureus-0016-00000064810-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a0/11330084/1d3606dfecd4/cureus-0016-00000064810-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a0/11330084/4441a22e70e9/cureus-0016-00000064810-i03.jpg

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