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铜绿假单胞菌肺炎的并发症——脊椎骨髓炎

Vertebral osteomyelitis as a complication of Pseudomonas aeruginosa pneumonia.

作者信息

Watanakunakorn C

出版信息

South Med J. 1975 Feb;68(2):173-6. doi: 10.1097/00007611-197502000-00013.

DOI:10.1097/00007611-197502000-00013
PMID:804184
Abstract

A patient with Pseudomonas aeruginosa pneumonia treated with gentamicin subsequently developed thoracovertebral osteomyelitis over the area of a preexisting compression fracture. Increasing back pain and progressive destruction with sclerosis of the involved vertebrae led to a needle biopsy examination of the vertebrae which showed evidence of chronic osteomyelitis and grew P aeruginosa on culture. P aeruginosa bacteremia was documented six months before the demonstration of the organism in the vertebrae. Treatment with a combination of gentamicin and carbenicillin coupled with bed rest cured the vertebral osteomyelitis.

摘要

一名接受庆大霉素治疗的铜绿假单胞菌肺炎患者,随后在先前存在的压缩性骨折区域发生了胸椎体骨髓炎。背部疼痛加剧以及受累椎体的进行性破坏伴硬化,导致对椎体进行针吸活检,结果显示为慢性骨髓炎,培养物中生长出铜绿假单胞菌。在椎体中发现该病原体的六个月前记录到了铜绿假单胞菌血症。庆大霉素和羧苄西林联合治疗并卧床休息治愈了椎体骨髓炎。

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