Raab M G, Lutz R A, Stauffer E S
Department of Surgery, Southern Illinois University School of Medicine, Springfield 62794-9230.
Clin Orthop Relat Res. 1993 Aug(293):144-7.
A debilitated 73-year-old white man was diagnosed with back pain secondary to acute hematogenous Eikenella corrodens vertebral osteomyelitis on the basis of history and physical examination, radiographs, computed tomography, magnetic resonance imaging, and open biopsy of the L3 vertebral body. A rare cause of vertebral osteomyelitis, possibly reported only once before in the world literature, E. corrodens is a facultative anaerobic gram-negative bacillus and a normal oral inhabitant. E. corrodens should be considered in the differential diagnosis of vertebral osteomyelitis and can be managed with immobilization and long-term intravenous antibiotics.
一名身体虚弱的73岁白人男性,根据病史、体格检查、X光片、计算机断层扫描、磁共振成像以及L3椎体的开放活检结果,被诊断为继发于急性血源性腐蚀埃肯菌性椎体骨髓炎的背痛。腐蚀埃肯菌是一种兼性厌氧革兰氏阴性杆菌,是口腔中的正常菌群,是椎体骨髓炎的一种罕见病因,在世界文献中可能仅被报道过一次。在椎体骨髓炎的鉴别诊断中应考虑腐蚀埃肯菌,可通过固定和长期静脉注射抗生素进行治疗。