一名 18 岁男子椎管内的曲霉瘤超级感染：病例报告。

Q4 Medicine JBJS case connector Pub Date : 2024-08-29 eCollection Date: 2024-07-01 DOI:10.2106/JBJS.CC.24.00190

Yash Prakash Ved, Deepika Jain, Tushar Rathod

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引用次数: 0

摘要

病例一名 18 岁免疫功能健全的男子因症状性腰椎管狭窄、窦道分泌物和寒性脓肿就诊 3 年，经过多次切开引流术和棉球包裹抗生素治疗。放射影像学检查显示，椎管内的软组织肿块导致骨质破坏。术后组织病理学检查显示为曲霉菌球。通过药物治疗，患者在 6 个月的随访中病情有所好转：据我们所知，这是首例涉及椎体的曲霉瘤病例报告。抗生素治疗不当和盲目将异物带入窦道可导致类似结核病的真菌感染，造成灾难性后果。建议常规进行真菌培养。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Aspergilloma Superinfection in the Spinal Canal of an 18-Year-Old Man: A Case Report.

Case: An 18-year-old immunocompetent man presented with symptomatic lumbar canal stenosis, discharging sinuses, and cold abscess for 3 years treated with multiple incision drainage procedures with cottonoid packing antibiotic therapy. Radiographic imaging showed a soft tissue mass in the canal causing bony destruction. Postoperative histopathological examination showed an Aspergillus fungal ball. Patient showed improvement at 6-month follow-up with medical management.

Conclusion: As far as we know, this is the first case report showing an aspergilloma involving the vertebral column. Inadequate antibiotic treatment and blind introduction of a foreign body into sinus tracts can lead to fungal infections mimicking tuberculosis, causing disastrous outcomes. Fungal cultures are recommended routinely.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.