Concomitant Cervical Spine Infection with Mycobacterium Tuberculosis and Pyogenic Bacteria Causing Spinal Cord Compression

O. Naama
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Abstract

predisposing risk factors such as recent spinal surgery, trauma, instrumentation, distal site of infection, immunosuppression, diabetes. was apyrexial. Physical examination showed marked mid neck tenderness, no palpable masses were felt, no lymph nodes were felt. Neurological examination of his extremities, spasticity was positive, and power was decreased 3/5 in both lower extremities, 2/5 in both upper extremities. Bilateral Babinski signs were present and deep tendon reflexes were increased Full blood count and white blood cell count (WBC) 10,269/L (neutrophils 71.3%; lymphocytes 21.8%; monocytes WBC 4.4 to 11.3/L); C-reactive 6 mg/dL). the the collapsed body of C4 with epidural abscess formation, complicating with spinal abscess A tuberculous granuloma on histology. the diagnosis. Staphylococcus aureus. was with rifampin (600 mg), Isoniazid (300 mg), ethambutol (25 mg/kg), pyrazinamide (25 mg/kg), and 750 mg for two months. This was by seven months of isoniazid and rifampin. The is
合并结核分枝杆菌和致腐细菌的颈椎感染导致脊髓压迫
易感风险因素,如近期脊柱手术、创伤、器械、远端感染部位、免疫抑制、糖尿病。是无轴的。体格检查显示颈部有明显的压痛,没有感觉到可触及的肿块,也没有感觉到淋巴结。对他的四肢进行神经检查,痉挛呈阳性,双下肢力量下降3/5,双上肢力量下降2/5。双侧Babinski体征出现,深肌腱反射增加全血细胞计数和白细胞计数(WBC)10269/L(中性粒细胞71.3%;淋巴细胞21.8%;单核细胞WBC 4.4至11.3/L);C反应性6mg/dL)。C4的塌陷体伴有硬膜外脓肿形成,并伴有脊柱脓肿组织学上的结核性肉芽肿。诊断。金黄色葡萄球菌。与利福平(600 mg)、异烟肼(300 mg)、乙胺丁醇(25 mg/kg)、吡嗪酰胺(25 mg/kg。这是由七个月的异烟肼和利福平。是
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