Bergman I, Wald E R, Meyer J D, Painter M J
Pediatrics. 1983 Oct;72(4):476-80.
Lumbar epidural abscess and vertebral osteomyelitis were diagnosed in a 3-month-old infant, born prematurely, who had had repeated lumbar punctures for the treatment of posthemorrhagic hydrocephalus. Staphylococcus aureus was the causative organism. Successful treatment was achieved with 6 weeks of intravenous antibiotics without surgical drainage. Infectious complications of lumbar punctures are rare, but may occur when multiple punctures are attempted in small premature infants whose subarachnoid space contains large amounts of blood. Infection can be introduced directly by a contaminated spinal needle, or trauma to the tissues with bleeding can create a favorable site for bacterial adherence and multiplication. Posthemorrhagic ventricular dilation often resolves spontaneously and serial lumbar punctures should be used to treat this condition only when CSF flow is easy to establish and maintain.
一名3个月大的早产婴儿被诊断为腰椎硬膜外脓肿和椎体骨髓炎，该婴儿因治疗出血后脑积水而反复进行腰椎穿刺。金黄色葡萄球菌是病原体。通过6周的静脉抗生素治疗，无需手术引流，治疗取得成功。腰椎穿刺的感染并发症很少见，但在蛛网膜下腔有大量血液的小早产儿中多次尝试穿刺时可能会发生。感染可由受污染的脊髓针直接引入，或组织出血造成的创伤可为细菌黏附和繁殖创造有利场所。出血后脑室扩张通常会自行消退，只有在脑脊液流动易于建立和维持时，才应使用连续腰椎穿刺来治疗这种情况。
