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由于Enterococcus faecalis造成的脊髓感染是结直肠癌的第一个表现
Eni Manoku1, Guilherme S Piedade1, Andreas L Gelhardt2
1Department of Neurosurgery, Helios Universitätsklinikum Wuppertal, Wuppertal, DEU.
Cureus
|July 3, 2023
概括
一种罕见的脊柱外皮,由肠道常见细菌Enterococcus faecalis引起,与未被诊断的结直肠癌有关. 这一案例凸显了结肠镜在识别胃肠道恶性瘤时的重要性,当不寻常的细菌导致脊髓感染时.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
- 神经外科 神经外科
背景情况:
- 脊柱外皮 (SEA) 是一种罕见但严重的疾病,通常是由金黄色葡萄球菌引起的.
- 肠道细菌Enterococcus faecalis是一种常见的肠道细菌,是海洋中不寻常的病原体.
- 结肠直肠癌可以通过血源性传播导致远程感染.
研究的目的:
- 报告第一个由E. faecalis引起的SEA病例,作为新诊断的结直肠癌的初始表现.
- 强调结肠镜在非典型细菌来源的SEA病例中的诊断价值.
主要方法:
- 一个82岁的患者的病例介绍,患有急性腰部疼痛,炎症标志物升高和阴性血培养.
- 磁共振成像 (MRI) 揭示了带有脊髓炎的腰部外周.
- 手术干预,病原体鉴定 (E. faecalis),抗生素调整,随后进行结肠镜检查.
主要成果:
- 这名患者被诊断为由E. faecalis引起的脊柱外围.
- 结肠镜检查显示了潜在的结肠直肠癌.
- 这代表了E. faecalis SEA作为结直肠癌的初始标志的第一个记录的案例.
结论:
- 由于E. faecalis造成的脊柱外围可能是结直肠癌的早期表现.
- 在没有其他明显来源的情况下,应考虑在患有由不寻常的肠道细菌引起的脊髓感染的患者中进行结肠镜检查.
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