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[肠球菌引起的脊椎椎间盘炎:一种罕见病症]

[Spondylodiscitis caused by Enterococcus: an unusual entity].

作者信息

García F, Fernández-Solà A, García Quintana A M, Capdevila J A

机构信息

Unitat de Malalties Infeccioses, Hospital General Vall d'Hebron, Universitat Autònoma, Barcelona.

出版信息

Enferm Infecc Microbiol Clin. 1995 Oct;13(8):473-6.

PMID:8555307
Abstract

BACKGROUND

Spondylodiscitis by enterococcus is a very infrequent disease with only 2 cases caused exclusively by this microorganism having been reported in the literature.

METHODS

Two clinical cases of spondylodiscitis by enterococcus diagnosed in the authors' department are presented with the clinical, radiologic and evolutive features of both.

RESULTS

In the first case the spondylodiscitis was secondary to endocarditis with lumbosacral involvement and formation of an anterior epidural inflammatory mass. The second case was the consequence of an infection of urinary origin with lumbosacral involvement. Both patients responded favorably with only antibiotic treatment.

CONCLUSIONS

Spondylodiscitis by enterococci is an unusual disease with no therapeutic experience. The authors report 2 cases which were treated exclusively with antibiotics.

摘要

背景

肠球菌性脊椎椎间盘炎是一种非常罕见的疾病,文献中仅报道过2例完全由该微生物引起的病例。

方法

介绍了作者所在科室诊断的2例肠球菌性脊椎椎间盘炎临床病例,并阐述了两者的临床、放射学及病情发展特征。

结果

第一例脊椎椎间盘炎继发于心内膜炎,累及腰骶部并形成前方硬膜外炎性肿块。第二例是泌尿系统感染累及腰骶部的结果。两名患者仅接受抗生素治疗后均反应良好。

结论

肠球菌性脊椎椎间盘炎是一种罕见疾病,尚无治疗经验。作者报告了2例仅用抗生素治疗的病例。

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