由Parvimonas micra引起的炎症性脊髓炎:一个病例报告
Saneyuki Itagaki1, Tsuneaki Kenzaka2,3
1Department of General Medicine, Toyooka Public Hospital, Toyooka, JPN.
Cureus
|December 13, 2023
概括
由常见的口腔细菌Parvimonas micra (P. micra) 引起的炎症性脊髓炎可以有效地用抗生素治疗. 及时识别和治疗口腔感染至关重要,以防止这种严重的脊髓疾病的复发.
科学领域:
- 传染性疾病 传染性疾病
- 微生物学 微生物学
- 整形外科 整形外科 整形外科
背景情况:
- 帕维莫纳斯微型 (P. micra) 是一种常见于口腔和肠道的阳性无气性菌.
- 炎症性脊柱炎是一种严重的脊柱感染,通常是由细菌引起的.
- 口腔感染有时会导致全身感染,包括脊髓感染.
研究的目的:
- 报告一种由P. micra.引起的炎症性脊髓炎病例.
- 要总结以前报告的P.微型脊柱炎病例的临床特征.
- 要突出P.微型脊柱炎和口腔感染之间的关联.
主要方法:
- 一个病例报告,一名81岁的老人患有腰部疼痛,并怀疑患有发热性脊柱炎.
- 诊断成像包括CT和MRI,以确定脊柱炎症.
- 培养受感染的磁盘活检以确定致病原体,P.micra.
- 审查P.微型脊柱炎的先前病例报告.
主要成果:
- 患者被诊断出患有皮原性脊髓炎,涉及腰椎和椎间盘.
- 从感染的磁盘活检中,P.micra被确定为致病原体.
- 患者的症状在六周的抗生素治疗后改善,其中包括安培-苏尔巴克坦和安培.
- 该患者同时患有牙周炎和2型糖尿病.
结论:
- 微型杆菌可以引起炎症性脊髓炎,特别是在口腔感染的人群中.
- 早期检测和适当的抗生素治疗对于管理P.micra脊髓炎至关重要.
- 解决感染源,如牙周炎,对于预防复发至关重要.
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