葡萄球菌性椎体骨髓炎合并脊髓硬膜外脓肿、腰肌脓肿和脑膜炎的成功治疗1例。

T. Cheng, T. Tsai, G. Lin
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引用次数: 5

摘要

一位42岁的农民因最近严重的下背部疼痛转至我院。神经学检查显示右侧L4神经根病。入院后出现脑膜炎。MRI表现为L4-5型骨髓炎、椎间盘炎伴连续脊髓硬膜外脓肿及右侧腰肌脓肿。血培养和脑脊液培养均可见金黄色葡萄球菌。由于病人拒绝接受引流手术,我们给他开了抗生素,结果很好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful medical treatment for staphylococcal vertebral osteomyelitis complicated by spinal epidural abscess, psoas abscess and meningitis: a case report.
A 42 year-old farmer was transferred to our hospital for recently exaggerated lower back pain. Neurological examination revealed an L4 radiculopathy on the right side. Meningitis developed after admission. MRI showed L4-5 osteomyelitis and discitis with contiguous spinal epidural abscess and right psoas abscess. Blood culture and CSF culture both grew Staphylococcus aureus. Because the patient refused to receive a drainage procedure, we gave him antibiotics which resulted in a favorable outcome.
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