Roquer J, Sales P, Paredes S, Tuyet J
Servicio de Neurología, Hospital del Mar, Barcelona.
Neurologia. 1996 Aug-Sep;11(7):268-71.
We describe a diabetic woman with an epidural abscess and associated bilateral psoas abscesses which simulated the clinical course of diabetic bilateral proximal plexopathy. We emphasize three aspects: 1) the rarity of associated epidural abscess and bilateral psoas abscesses, 2) the rarity of the germ isolated (Streptococcus bovis), and 3) the diagnostic difficulties when both processes are associated, particularly in patients with an underlying disease that may simulate other common, clinical pictures.
我们描述了一位患有硬膜外脓肿及相关双侧腰大肌脓肿的糖尿病女性患者，其临床表现类似糖尿病性双侧近端臂丛神经病。我们强调三个方面：1）合并硬膜外脓肿和双侧腰大肌脓肿的罕见性；2）分离出的病原菌（牛链球菌）的罕见性；3）当这两种病症合并时的诊断困难，尤其是在患有可能模拟其他常见临床症状的基础疾病的患者中。
