Feigenbaum J A, Stern W E
J Neurol Neurosurg Psychiatry. 1974 Dec;37(12):1361-5. doi: 10.1136/jnnp.37.12.1361.
Two patients with infections of the cervical intervertebral disc space after dental procedures carried out by the same oral surgeon exhibited similar clinical courses and radiographic appearances. Both had bacteriological confirmation of infection by needle aspiration and were treated with appropriate antibiotics and bracing of the neck. The presumed aetiology and the possible pathogenesis are described. Evidence suggests that the two infections were the result of needle injection of a contaminated solution, the organisms of which haematogenously lodged in the intervertebral discs in the cervical region. Lymph drainage from the gums and teeth is suggested as a possible route of inoculation.
由同一位口腔外科医生实施牙科手术后，两名患者出现颈椎椎间盘间隙感染，其临床病程和影像学表现相似。两人均通过针吸术获得感染的细菌学确认，并接受了适当的抗生素治疗和颈部支具固定。文中描述了推测的病因及可能的发病机制。有证据表明，这两例感染是由于注射了受污染的溶液，其中的病原体经血行途径寄居于颈椎区域的椎间盘。牙龈和牙齿的淋巴引流被认为是可能的接种途径。
