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在L-PEN程序后由葡萄球菌Lugdunensis引起的传染性脊髓炎:一个病例报告

Youngkwon Yang¹, Kyungryeol Kang¹, Eundong Lee¹

¹Department of Anesthesiology and Pain Medicine, Veterans Health Service Medical Center, Seoul, KOR.

|March 16, 2026

概括

一个罕见的感染性脊柱炎的病例,由斯塔菲洛科克斯Lugdunensis造成的腰部皮层外皮神经塑造术 (L-PEN) 后,成功地进行了保守的治疗. 这凸显了早期诊断和适当的抗生素治疗脊柱感染的重要性.

科学领域:

传染性疾病传染性疾病
神经外科神经外科
放射学放射学是一门学科.

背景情况:

腰部皮层外周神经塑造术 (L-PEN) 是一种治疗慢性腰部疼痛的手术.
脊柱干预后的感染很少发生,但可能是严重的.

研究的目的:

在L-PEN后报告一种罕见的感染性脊髓炎病例,该病例是由Lugdunensis菌根杆菌引起的.
强调与程序相关的脊髓感染的诊断和管理策略.

主要方法:

一个78岁的男性患者的病例报告.
利用对比增强型MRI进行诊断.
血液培养物确定了斯塔菲洛科克斯 (Staphylococcus lugdunensis) 的存在.
通过12周的向抗微生物疗法进行管理.

主要成果:

患者在L-PEN后发展出感染性脊柱炎,多层次的外周腺增强和脊椎末板干扰.
斯塔菲洛科克斯 (Staphylococcus lugdunensis) 被确定为病原体.
通过保守的管理和单独使用抗生素实现了完全的临床和放射性康复.

结论:

在L-PEN.等手术后,Staphylococcus lugdunensis可以引起严重的脊髓感染.
早期诊断成像和微生物学评估对于及时管理至关重要.
用适当的抗生素进行保守治疗,即使在广泛的病例中也可以有效.

关键词:

epidural神经可塑性外围神经可塑性传染性脊柱炎是一种传染性脊柱炎.腰部疼痛腰部疼痛腰部疼痛与手术相关的脊柱感染.葡萄球菌Lugdunensis的葡萄球菌.

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