Liesker K R, Taconis W K, Plasmans C M, Schreurs A J
Dept of Pulmonology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.
Eur Respir J. 1996 Nov;9(11):2426-8. doi: 10.1183/09031936.96.09112426.
Thoracic empyema and vertebral osteomyelitis is a rare combination. We report a case of vertebral osteomyelitis possibly caused by a progressive thoracic empyema. The causative pathogen was Escherichia coli. Computed tomographic (CT) scan and magnetic resonance imaging (MRI) suggested the diagnosis of vertebral osteomyelitis, confirmed by transthoracic needle aspiration and operative findings. Aetiology and treatment are discussed.
胸椎脓胸合并椎体骨髓炎是一种罕见的情况。我们报告一例可能由进展性胸椎脓胸引起的椎体骨髓炎病例。致病病原体为大肠杆菌。计算机断层扫描（CT）和磁共振成像（MRI）提示椎体骨髓炎的诊断，经胸腔穿刺抽吸及手术所见得以证实。文中讨论了病因及治疗方法。
