Harvey A L, Myslinski J, Ortiz L
Department of Emergency Medicine, Richland Memorial Hospital, Columbia, South Carolina 29203, USA.
J Emerg Med. 1998 Jul-Aug;16(4):579-81. doi: 10.1016/s0736-4679(98)00038-9.
Spinal epidural abscess due to nocardia is extremely rare. We report a patient who presented to our Emergency Department with a complaint of low back pain and fever, who was later found to have a spinal epidural abscess. Tissue cultures from the abscess grew nocardia asteroides. Magnetic resonance imaging scan is the imaging study of choice for diagnosing spinal epidural abscess. Treatment for nocardia spinal epidural abscess involves a combination of surgical debridement and prolonged sulfonamide administration.
由诺卡菌引起的脊柱硬膜外脓肿极为罕见。我们报告一名患者,他因腰痛和发热前来我院急诊科就诊,后来被发现患有脊柱硬膜外脓肿。脓肿的组织培养物中生长出星形诺卡菌。磁共振成像扫描是诊断脊柱硬膜外脓肿的首选影像学检查。诺卡菌性脊柱硬膜外脓肿的治疗包括手术清创和长期使用磺胺类药物。