Kolmos H J
Int Urol Nephrol. 1979;11(3):249-53. doi: 10.1007/BF02081966.
Two cases of spinal epidural abscess in patients on maintenance haemodialysis, one of them secondary to infection in an arteriovenous fistula, are described. Both cases presented the typical symptoms known from the literature, but were diagnosed too late to prevent neurological sequelae. The condition is rare, but dialysis patients are to be considered a risk group because of their reduced immunocapacity and increased hazard of infection, especially fistula and shunt infections. Awareness of this, and knowledge of its early symptoms are required for timely neurosurgical intervention and thus prevention of irreversible spinal cord damage.
本文描述了两例维持性血液透析患者发生脊柱硬膜外脓肿的病例，其中一例继发于动静脉瘘感染。两例病例均表现出文献中已知的典型症状，但诊断过晚，未能预防神经后遗症。这种情况很罕见，但透析患者因其免疫能力下降和感染风险增加，尤其是瘘管和分流感染，应被视为高危人群。需要认识到这一点，并了解其早期症状，以便及时进行神经外科干预，从而预防不可逆的脊髓损伤。
