Piroth C, Tebib J, Noel E, Bouvier M
Department of Rheumatology, CHLS, Lyon, France.
Rev Rhum Engl Ed. 1995 Dec;62(11):798-801.
The first case of vertebral Capnocytophaga infection in an immunocompetent subject is reported. The patient was a 75-year-old woman with low back pain and a decline in general health. Plain roentgenograms disclosed erosions in the upper endplate of L4 and the lower endplate of L3 with no lesions of the intervening disk. Magnetic resonance imaging confirmed that the disk was normal. The organism was identified only by a repeat vertebral biopsy with bacteriologic cultures in a CO2-enriched atmosphere. The patient achieved a full recovery. Patients with suspected bone infections should be evaluated for portals of entry (Capnocytophaga is a normal inhabitant of the oral cavity) and should undergo multiple microbiological studies aimed at detecting a broad range of organisms.
本文报告了首例免疫功能正常者发生的脊椎二氧化碳嗜纤维菌感染病例。患者为一名75岁女性，有腰痛症状且全身健康状况下降。普通X线片显示L4上终板和L3下终板有侵蚀，中间椎间盘无病变。磁共振成像证实椎间盘正常。仅通过在富含二氧化碳的环境中进行细菌培养的重复脊椎活检才鉴定出该病原体。患者已完全康复。对于疑似骨感染的患者，应评估其感染入口（二氧化碳嗜纤维菌是口腔的正常寄居菌），并应进行多项微生物学研究，以检测多种病原体。
