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口普雷沃菌引起的颈椎前路融合术后感染:一例报告

Postoperative infection following anterior cervical fusion surgery caused by Prevotella oris: a case report.

作者信息

Wang Chenglong, Lei Yang

机构信息

Spinal Surgery Department, Mianyang Orthopaedic Hospital, Mianyang, Sichuan, China.

Department of Spinal & Bone Tumors (1), The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China.

出版信息

Front Surg. 2025 Aug 29;12:1555039. doi: 10.3389/fsurg.2025.1555039. eCollection 2025.

DOI:10.3389/fsurg.2025.1555039
PMID:40949782
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12426061/
Abstract

Postoperative infections following spinal fusion procedures are commonly caused by pathogens such as , coagulase-negative , species, and . However, cases involving as a causative agent are rarely documented in the literature. We report a case of postoperative infection after anterior cervical spinal fusion surgery. After empirical antimicrobial therapy failed, high-throughput nucleic acid sequencing detected in the patient's cerebrospinal fluid-a rare and previously unreported finding. Upon switching to a more sensitive antibiotic regimen, the patient's symptoms improved significantly. This case highlights an unusual etiology and provides a comprehensive documentation of the treatment process, aiming to assist clinicians in the diagnosis and management of similar infections.

摘要

脊柱融合手术后的术后感染通常由凝固酶阴性葡萄球菌等病原体引起。然而,文献中很少记录以[具体病原体名称缺失]作为病原体的病例。我们报告一例颈椎前路融合手术后的术后感染病例。经验性抗菌治疗失败后,高通量核酸测序在患者脑脊液中检测到[具体病原体名称缺失]——这是一个罕见且此前未报告的发现。改用更敏感的抗生素治疗方案后,患者症状明显改善。本病例突出了一种不寻常的病因,并提供了治疗过程的全面记录,旨在帮助临床医生诊断和管理类似感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f1b/12426061/d65780e99f40/fsurg-12-1555039-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f1b/12426061/1aef52980a91/fsurg-12-1555039-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f1b/12426061/d9f646e9d20c/fsurg-12-1555039-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f1b/12426061/d65780e99f40/fsurg-12-1555039-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f1b/12426061/1aef52980a91/fsurg-12-1555039-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f1b/12426061/d9f646e9d20c/fsurg-12-1555039-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f1b/12426061/d65780e99f40/fsurg-12-1555039-g003.jpg

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本文引用的文献

1
When a sore throat turns into deadly multiple serous cavity effusions: the role of in rapidly progressing infection-a case report.当咽喉痛转变为致命的多发性浆膜腔积液时: 在快速进展性感染中的作用——病例报告
Front Med (Lausanne). 2025 Jan 29;12:1517389. doi: 10.3389/fmed.2025.1517389. eCollection 2025.
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Unveiling the dark side of : a case of fatal pneumonia from a common probiotic.揭开……的阴暗面:一例由常见益生菌引起的致命肺炎病例 (注:原文中“Unveiling the dark side of :”这里“of”后面缺少具体内容)
Front Med (Lausanne). 2024 Dec 24;11:1382134. doi: 10.3389/fmed.2024.1382134. eCollection 2024.
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A case report of a brain abscess due to prevotella oris and a review of the literature.
口腔拟杆菌致脑脓肿 1 例报告及文献复习
BMC Infect Dis. 2023 Sep 27;23(1):633. doi: 10.1186/s12879-023-08306-9.
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Two cases of Prevotella oris causing serious pleuropulmonary infections.两例由口腔普雷沃菌引起的严重胸膜肺部感染。
Rev Esp Quimioter. 2023 Aug;36(4):439-441. doi: 10.37201/req/001.2023. Epub 2023 May 16.
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Subacute Polymicrobial Bacterial Pericarditis Mimicking Tuberculous Pericarditis: A Case Report.亚急性多微生物细菌性心包炎模拟结核性心包炎:一例报告。
Am J Case Rep. 2021 Nov 16;22:e933684. doi: 10.12659/AJCR.933684.
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Invasive Infection among Patients Undergoing Elective, Posterior, Instrumented Spinal Fusion Surgeries: A Retrospective Cohort Study.择期后路器械辅助脊柱融合手术患者的侵袭性感染:一项回顾性队列研究
Surg Infect (Larchmt). 2022 Feb;23(1):12-21. doi: 10.1089/sur.2021.019. Epub 2021 Sep 7.
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