一个罕见的Gardnerella 阴道菌病例 spondylodiscitis
1Division of Infectious Diseases, Department of Medicine, University of Kansas, Kanas City, KS, USA.
IDCases
|January 6, 2025
概括
罕见的细菌Gardnerella vaginalis,在一个带有尿路支架的男性患者中引起了脊髓炎. 迅速重复活检和有针对性的甲尼达治疗导致了成功的治疗和临床改善.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 整形外科手术 整形外科手术
背景情况:
- 尿道-骨盆结口 (UPJ) 阻塞是一种影响盆和尿道的疾病.
- 脊髓炎是一种脊柱感染,可以由各种病原体引起.
- 菌通常与细菌性阴道炎有关,而不是骨和关节感染.
研究的目的:
- 报告一个罕见的Gardnerella vaginalis引起的脊髓炎病例在男性患者身上.
- 突出诊断挑战和成功治疗这种不寻常的感染.
- 讨论尿管支架在病原体殖民化和随后的骨髓炎中的潜在作用.
主要方法:
- 一名55岁的男性患有慢性UPJ阻塞,出现背部疼痛.
- CT和MRI显示在L4-L5处的脊髓瘤炎以及错位的尿路支架.
- 重复活检确定了Gardnerella vaginalis,导致针对性的抗菌疗法.
主要成果:
- 经过10周的美特罗尼达治疗,患者的临床状况显著改善.
- 最初活检的培养结果是阴性,延迟了诊断.
- 在重复活检中成功培养了Gardnerella vaginalis,证实了病原体.
结论:
- 阴道菌 (Gardnerella vaginalis) 是一种罕见但潜在的脊髓瘤炎的原因,特别是在患有异体的患者中,如尿路支架.
- 重复活检和培养对于诊断罕见病原体至关重要.
- 向抗菌疗法,如针对G. vaginalis的美特罗尼达,在治疗这些感染方面是有效的.
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