脊髓损伤由于金黄色葡萄球菌 (Staphylococcus aureus) 发作的脊髓感染导致感染的亚托皮性湿疹复杂化:两例病例报告
K MacKay1,2, E J McCaughey1,3, N Fullerton4
1Queen Elizabeth National Spinal Injuries Unit, Queen Elizabeth University Hospital, Govan Road, Glasgow, G51 4TF, UK.
Spinal cord series and cases
|August 14, 2023
概括
发烧性脊髓感染 (PSI) 可以导致脊髓损伤 (SCI),特别是当源于感染的疹时. 早期意识对于管理这种罕见但严重的并发症至关重要.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 皮肤病学 皮肤病学
背景情况:
- 发烧性脊髓感染 (PSI) 是脊髓损伤 (SCI) 的罕见原因之一.
- 亚托皮性湿疹损害了皮肤屏障功能,增加了对细菌感染的易感性.
- 皮肤感染引起的血源性播种是PSI的一个已知的原因.
研究的目的:
- 报告两个独特的SCI病例,这是PSI的次要病例,由受感染的亚托皮性湿疹引起.
- 要突出阿托皮性湿疹和导致SCI的PSI之间的联系.
- 提高医疗保健专业人员对这种潜在并发症的认识.
主要方法:
- 两名因PSI而患有SCI的患者的病例报告.
- 鉴定了对甲素敏感的金黄色葡萄球菌 (MSSA) 作为致病剂.
- 治疗的描述,包括长时间的抗生素疗程和患者的结果.
主要成果:
- 两名患者的SCI是PSI的次要发病,起源于感染的亚托皮性湿疹.
- 这两位患者都接受了长期的静脉注射和口服抗生素治疗.
- 神经学的结果各不相同,其中一个患者经历了不完全的四肢,另一个患者经历了不完全的.
结论:
- 这些病例代表了首次报告的感染性亚托皮性湿疹导致PSI和SCI的情况.
- 管理亚托皮性湿疹的医疗保健提供者应警PSI的迹象.
- 及时识别和治疗对于潜在地减轻严重的神经缺陷至关重要.
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