Farah I, Giudicelli H, Voirin L, Magne J L, Durand M, Gayard J P, Charvin B, Granger P, Chavanon O
Service de Chirurgie vasculaire, C.H.U. Grenoble.
Chirurgie. 1993;119(4):196-9.
We observed a case of aortitis due to Salmonella in a patient with spondylodiscitis. Outcome was fatal despite resection and grafting, extensive drainage and adapted but unsuccessful antibiotic treatment. Based on the literature, suggested treatment for patients with spondylodiscitis includes extra-anatomic bypass combined with resection of the infected tissue and adapted antibiotherapy. In these emergency cases, computed tomography is the most useful exploration and also gives the diagnosis of spondylodiscitis. It is also necessary to identify the infectious agent to adapt the antibiotics.
我们观察到一例患有脊椎间盘炎的患者因沙门氏菌感染引发主动脉炎。尽管进行了切除和移植手术、广泛引流以及采用了适当但未成功的抗生素治疗，患者最终还是死亡。根据文献，对于脊椎间盘炎患者建议的治疗方法包括解剖外搭桥术，联合感染组织切除术以及适当的抗微生物治疗。在这些紧急情况下，计算机断层扫描是最有用的检查手段，也可用于诊断脊椎间盘炎。识别感染病原体以调整抗生素的使用也很有必要。
