脊柱硬膜外脓肿由假中间葡萄球菌引起:罕见病例报告

D. Tugasworo, Happy Kurnia Brotoarianto, Retnaningsih, Aditya Kurnianto, Y. Andhitara, Rahmi Ardhini, Josep Rio Rambe, J. Budiman
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引用次数: 0

摘要

背景:脊髓硬膜外脓肿(SEA)是一种罕见的疾病,难以发现,缺损率高,可能危及生命。其特征是硬膜外腔积聚脓液,导致脊髓和脊根受到抑制。本研究将描述印度尼西亚一名35岁男性SEA病例。病例介绍:一名35岁男性,腰部疼痛1,根性疼痛(根据胸部皮肤组10),弛缓性下截瘫,感觉减退(高达胸部皮肤组)10,脓肿培养证实由pseudintermedius葡萄球菌引起的SEA导致小腹滞留。该患者的治疗是通过手术、清创术和抗生素给药进行的。结论:从病史、体格检查、实验室检查、放射学检查等方面诊断为SEA。这种病例很少被发现,由于早期诊断的困难,对神经学家来说是一个大问题。
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SPINAL EPIDURAL ABSCESS ET CAUSA STAPHYLOCOCCUS PSEUDINTERMEDIUS: A RARE CASE REPORT
Background: Spinal epidural abscess (SEA) is a rare disease, difficult to detect, high defect rate, and can be lifethreatening. It is characterized by accumulation of pus in the epidural space causing suppression of the spinal cord and spinal roots. This study will describe a case of a 35-year-old man with SEA in Indonesia. Case presentation: A 35-year-old male with pain in the lumbar region 1, radicular pain according to thoracic dermatome 10, flaccid inferior paraplegia, hypoesthesia as high as thoracic dermatome 10, and retention of alviet uri due to SEA caused by Staphylococcus pseudintermedius confirmed by abscess culture. Management of this patient was through an operation, debridement, and administration of antibiotic. Conclusion: This patient was diagnosed with SEA from anamnesis, physical examination, laboratory finding, and radiology finding. This case is rarely found and is a big problem for neurologists due to the difficulty of early diagnosis.
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