Spondylodiscitis caused by Mycobacterium xenopi

被引：22

作者：

Sobottke, R. ^{[1
]}

Zarghooni, K. ^{[1
]}

Seifert, H. ^{[2
]}

Faetkenheuer, G. ^{[3
]}

Koriller, M. ^{[1
]}

Michael, J. -W. P. ^{[1
]}

Delank, K. -S. ^{[1
]}

Eysel, P. ^{[1
]}

机构：

[1] Univ Cologne, Dept Orthopaed Surg, D-50924 Cologne, Germany

[2] Univ Cologne, Dept Microbiol, D-50935 Cologne, Germany

[3] Univ Cologne, Dept Med, D-50937 Cologne, Germany

来源：

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY | 2008年 / 128卷 / 10期

关键词：

spondylitis; spondylodiscitis; Mycobacterium xenopi; immunodeficiency; HIV;

D O I：

10.1007/s00402-007-0553-y

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The infection with non-tuberculous mycobacterium correlates highly with immunodeficiency. Mycobacterium xenopi (M. xenopi) is most commonly isolated in the respiratory tract, as a cause of endogenous spondylodiscitis it occurs but rarely. Only seven such cases have been reported in literature. In this paper, we present the case of an about 28-year-old HIV-positive patient with a long history of back pain. MRI of the spinal column and Positron Emission Tomography with F-18-fluorodeoxyglucose as a tracer (F18-FDG-PET) confirmed the suspected spondylodiscitis. After performing a CT-controlled abscess drainage the patient's condition improved. Because of the severe destruction of the spinal segment concerned and because of the epidural abscess formation a vertebrectomy of T10 and surgical debridement of the paravertebral soft tissue via thoracotomy became urgently necessary. The spine was stabilized by interposing a cage and an anterolateral monobar system. M. xenopi could be proven by PCR out of the intraoperative specimen. After operation and antituberculotic therapy there was a fast convalescence. Diagnostics, therapy, and clinical outcome are discussed.

引用

页码：1047 / 1053

页数：7

共 31 条

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