Soubrier M, Urosevic Z, Dubost J J, Ristori J M, Bussière J L
Service de Rhumatologie, Hôpital G. Montpied, Clermont-Ferrand.
Presse Med. 1995 Jun 10;24(21):989-91.
Spondylodiscitis is rarely caused by anaerobic germs and occurs mainly in patients weakened by another infection. We report a case of Fusobacterium nucleatum spondylodiscitis in a 63-year-old man. This is the third such report and the second in a non-immunodepressed patient. The clinical presentation and laboratory findings in this type of spondylodiscitis vary little from those produced by other germs. Magnetic resonance imaging is the most useful diagnostic tool for spondylodiscitis. The germ is isolated from a discal puncture aspirate in 66% of the cases but can also be obtained from blood cultures. Anaerobic germs are usually sensitive to penicillin or cephalosporins.
脊椎椎间盘炎很少由厌氧菌引起,主要发生在因另一种感染而身体虚弱的患者中。我们报告一例63岁男性的具核梭杆菌性脊椎椎间盘炎病例。这是第三例此类报告,也是第二例非免疫抑制患者的报告。这种类型的脊椎椎间盘炎的临床表现和实验室检查结果与其他病菌引起的差异不大。磁共振成像(MRI)是脊椎椎间盘炎最有用的诊断工具。在66%的病例中,病菌可从椎间盘穿刺抽吸物中分离出来,但也可从血培养中获得。厌氧菌通常对青霉素或头孢菌素敏感。