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由Erysipelothrix rhusiopathiae感染引起的炎症性脊髓炎:一个病例报告
Yusuke Oshita1, Takeshi Eguro2, Satoshi Kimura3
1Department of Orthopaedic Surgery, Showa Medical University Northern Yokohama Hospital, Yokohama, JPN.
Cureus
|October 20, 2025
概括
由罕见的动物性病菌Erysipelothrix rhusiopathiae引起的炎症性脊髓炎并不常见. 这一案例凸显了脊髓感染中与不卫生的生活条件的潜在联系,即使没有直接与动物接触.
科学领域:
- 传染性疾病 传染性疾病
- 整形外科 整形外科 整形外科
- 微生物学 微生物学
背景情况:
- 发烧性脊柱炎的发病率在全球范围内正在上升.
- 动物性脊髓炎的细菌病因很少被报告.
- 埃里西佩洛特里克斯 (Erysipelothrix rhusiopathiae) 的脊髓感染非常罕见.
研究的目的:
- 报告一个罕见的Erysipelothrix rhusiopathiae脊髓炎病例.
- 在没有牲畜病史的患者中调查潜在的风险因素.
- 强调动物性脊髓感染的非典型传播途径.
主要方法:
- 一个82岁的男性患者的病例报告.
- 诊断工作包括成像 (CT,MRI) 和血液培养.
- 脊椎炎的手术干预,随后进行临床观察.
主要成果:
- 他们被诊断出Erysipelothrix rhusiopathiae细菌病和随后的脊椎炎.
- 这位患者以前没有接触过动物,但与老鼠生活在不卫生的环境中.
- 脊柱手术导致症状显著改善,并在16个月后没有复发.
结论:
- 埃里西佩洛特里克斯 (Erysipelothrix rhusiopathiae) 可以通过非传统的暴露途径引起脊髓炎.
- 不卫生的环境可能会促进动物性细菌脊柱感染.
- 及时诊断和手术管理对于有利的结果至关重要.
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