Spinal epidural abscess caused by Gardnerella vaginalis and Prevotella amnii.

Spinal epidural abscess caused by Gardnerella vaginalis and Prevotella amnii.
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由阴道加德纳菌和羊普雷沃氏菌引起的脊髓硬膜外脓肿。

DOI:
10.1097/ipc.0000000000000565
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发表时间:
2018
期刊:
Infectious diseases in clinical practice (Baltimore, Md.)
影响因子:
--
通讯作者:
Culyba,MatthewJ
Culyba,MatthewJ
中科院分区:
--
文献类型:
--
作者:
Stewart,Leslie;Sinha,Saurabh;Madsen,PeterJ;Glaser,Laurel;Chen,HIsaac;Culyba,MatthewJ

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我们报告一位58岁的女性,最近被诊断为淋球菌感染,但没有接受指南推荐的治疗,发生脊髓硬膜外脓肿。她出现背痛以及盆腔炎(PID)的体征和症状。脊柱磁共振成像显示硬膜外脓肿从T10延伸到L4/L5。她接受了T10/L1和L3/L4椎板切除术以清除脓肿,并从脓肿液培养物中分离出迷走加德纳菌和普雷沃菌。我们的病例显示脊髓硬膜外脓肿是PID的一种罕见但病态的并发症,并强调了与PID相关的厌氧植物群的致病潜力。
We report a case of spinal epidural abscess in a 58-year-old woman who had recently been diagnosed with gonococcal infection, but did not receive guideline-recommended therapy. She presented with back pain as well as signs and symptoms of pelvic inflammatory disease (PID). Magnetic resonance imaging of the spine demonstrated epidural abscess extending from T10 to L4/L5. She underwent T10/L1 and L3/L4 laminectomies for evacuation of the abscess and Gardnerella vaginalis and Prevotella amnii were isolated from the abscess fluid cultures. Our case demonstrates spinal epidural abscess as a rare, but morbid complication of PID and highlights the pathogenic potential of the anaerobic flora associated with PID.
阴道加德纳菌引起的骨髓炎和髋部脓肿:一例报告
DOI: --
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