由椎骨曲霉菌感染引起的脊柱硬膜外脓肿：3例报告

Spinal epidural abscess due to Aspergillus infection of the vertebrae: report of 3 cases.

作者信息

Dubbeld P, van Oostenbrugge R J, Twinjstra A, Schouten H C

机构信息

Department of Internal Medicine, University Hospital, Maastricht, Netherlands.

出版信息

Neth J Med. 1996 Jan;48(1):18-23. doi: 10.1016/0300-2977(95)00048-8.

DOI:10.1016/0300-2977(95)00048-8

PMID:8775748

Abstract

Aspergillus infection of the vertebral bodies and intervertebral disc spaces with consequent formation of a spinal epidural abscess was diagnosed in 3 patients with acute leukaemia. Medical therapy consisted of high-dose amphotericin-B with good local control of disease in one patient. The second patient underwent surgical drainage. The third patient had stabilisation of the disease. The clinical features, diagnosis and treatment are discussed.

摘要

3例急性白血病患者被诊断为椎体和椎间盘间隙曲霉菌感染，继而形成脊髓硬膜外脓肿。内科治疗包括大剂量两性霉素B，1例患者病情得到良好的局部控制。第2例患者接受了手术引流。第3例患者病情稳定。文中讨论了其临床特征、诊断及治疗方法。