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由Prevotella intermedia引起的グラム阴性无氧脊椎炎:一个病例报告
Chih-Yung Chiang1,2, Kai-Chiang Yang3, Feng-Huei Lin1
1Department of Biomedical Engineering, National Taiwan University, Taipei, TWN.
Cureus
|September 22, 2025
概括
口腔细菌Prevotella intermedia很少引起脊髓炎,特别是在食道胃管腺镜检查 (EGD) 后. 及时诊断和量身定制的抗生素治疗对于治疗这些不寻常的脊髓感染至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 神经外科 神经外科
- 微生物学 微生物学
背景情况:
- 脊髓瘤炎通常是由格拉姆阳性细菌引起的.
- 口腔细菌是脊髓感染的一个不常见的原因.
- 消化管胃管腺镜检查 (EGD) 可能导致细菌血症.
研究的目的:
- 报告一种罕见的脊椎炎病例,由Prevotella intermedia引起.
- 强调在耐火病例中识别不寻常病原体的重要性.
- 为了强调EGD和随后的脊髓感染之间的潜在联系.
主要方法:
- 一个43岁的男性患有L5/S1脊椎炎的病例报告.
- 最初的经验性抗生素治疗和手术减压.
- 用组织培养重新进行手术,以识别病原体和向抗生素治疗.
主要成果:
- 在初始治疗失败后,Prevotella intermedia被确定为病原体.
- 患者患有尾巴马体综合征,需要紧急手术.
- 在针对病原体特定的抗生素调整后,通过静脉注射的甲尼达成功治疗.
结论:
- 介质前 (Prevotella intermedia) 可以导致严重的脊髓瘤炎,特别是在EGD后.
- 活检和培养对于诊断罕见病原体感染至关重要.
- 对于口腔细菌种植脊髓感染,EGD程序可能会带来风险.
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