ASPERGILLUS-DISCITIS WITH ACUTE DISC ABSCESS

被引：25

作者：

ASSAAD, W ^{[1
]}

NUCHIKAT, PS ^{[1
]}

COHEN, L ^{[1
]}

ESGUERRA, JV ^{[1
]}

WHITTIER, FC ^{[1
]}

机构：

[1] OHIO UNIV,COLL MED,DEPT INTERNAL MED,CANTON,OH

来源：

SPINE | 1994年 / 19卷 / 19期

关键词：

ASPERGILLUS; DISCITIS; OSTEOMYELITIS;

D O I：

10.1097/00007632-199410000-00019

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study Design. Aspergillus osteomyelitis of the vertebral body and disc space is rare. This report discusses a case that occurred in an immunosuppressed 29-year-old man and reviews the pertinent medical literature. Objectives. To review the management and treatment of Aspergillus osteomyelitis of the vertebral body and disc space. Summary of Background Data. The patient presented with acute neurologic compromise resulting from L5-S1 discitis and a large epidural soft tissue component secondary to the Aspergillus infection. Results. The patient underwent aggressive surgical debridement along with treatment with amphotericin B and had a complete clinical recovery. Conclusions. The authors recommend a combined medical-surgical approach in most cases of vertebral Aspergillus osteomyelitis. Early surgery with vigorous surgical debridement along with antifungal treatment seems to yield a good outcome.

引用

页码：2226 / 2229

页数：4

共 16 条

[1]

Brandt S.J., Thompson R.L., Wenzel R.P., Mycotic pseudoaneurysm of an aortic bypass graft and contiguous vertebral osteomyelitis due to Aspergillus fumigatus, Am J Med, 79, pp. 259-262, (1985)

[2]

Brown D.L., Musher D.M., Taffet G.E., Hematogenously acquired Aspergillus vertebral osteomyelitis in seemingly im-munocompetent drug addicts, West J Med, 147, pp. 84-85, (1987)

[3]

Castelli C., Benazzo F., Minoli L., Et al., Aspergillus infection of L3-L4 disc space in an immunosuppressed heart transplant patient, Spine, 15, pp. 1369-1373, (1990)

[4]

Denning D.W., Stevens D.A., Antifungal and surgical treat-ment of invasive aspergillosis:Review of 2121 published cases, Reviews of Infectious Diseases, 12, pp. 1147-1201, (1990)

[5]

Faure B.T., Biondi J.X., Flanagan J.P., Clarke R., Aspergillar osteomyelitis of the acetabulum. A case report and review of the literature, Orthop Rev, 19, pp. 58-64, (1990)

[6]

Ferris B., Jones C., Paraplegia due to aspergillosis. Successful conservative treatment of two cases, J Bone Joint Surg [Br], 67, pp. 800-803, (1985)

[7]

Govender S., Rajoo R., Goga I.E., Charles R.W., Aspergillus osteomyelitis of the spine, Spine, 16, pp. 746-749, (1991)

[8]

Grossman M., Aspergillosis of bone, Br J Radiol, 48, pp. 57-59, (1975)

[9]

Mawk J.R., Erickson D.L., Chou S.N., Seljeskog E.L., Aspergillus infections of the lumbar disc spaces. Report of three cases, J Neurosurg, 58, pp. 270-274, (1983)

[10]

McKee D.F., Barr W.M., Bryan C.S., Lunceford E.M., Primary aspergillosis of the spine mimicking Pott’s paraplegia, J Bone Joint Surg [Am], 66, pp. 1481-1483, (1984)

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