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从口腔中产生的口腔脊髓炎:一个经常被忽视的实体
Ann-Kathrin Joerger1, Miriam Zahn2, Carolin Albrecht1
1Department of Neurosurgery, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
The spine journal : official journal of the North American Spine Society
|December 18, 2024
概括
脊髓炎的起源往往不清楚,但牙感染比以前认为的更为常见. 对于脊髓瘤炎患者,建议进行牙科检查,特别是当感染源最初未知时.
科学领域:
- 脊髓感染 脊髓感染
- 牙引起的感染 牙引起的感染
- 血源性传播是血源性的传播.
背景情况:
- 初级脊髓瘤炎源于病原体的传播,通常来源不明.
- 口腔细菌可以通过牙科手术或创伤进入血液,导致系统传播.
研究的目的:
- 为了调查在脊髓瘤炎中牙致病原因的作用.
- 在最初未知感染焦点的病例中确定牙起源.
主要方法:
- 对340名患有原发性脊髓瘤炎的患者进行了回顾性分析.
- 在检测到口腔细菌的患者中,使用脊柱造影 (OPG) 重新评估牙状况.
主要成果:
- 在8.9%的病例中,最初确定了牙的起源.
- 对OPG的重新评估显示,在64.3%的先前未确定的口腔细菌病例中,牙科专注.
- 在检测出阳性病原体的13.3%的患者中检测到口腔细菌.
结论:
- 脊髓瘤炎的牙病因比最初认为的更为普遍.
- 对于初级脊髓炎患者来说,彻底的牙科检查应该是标准的.
- 识别牙焦点有助于诊断感染源.
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