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題名 | Candida Vertebral Osteomyelitis: A Case Report and Review of the Literature=念珠菌脊椎骨髓炎--病例報告及文獻回顧 |
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作者姓名(中文) | 王以舟; 李石增; | 書刊名 | 長庚醫學 |
卷期 | 24:12 2001.12[民90.12] |
頁次 | 頁810-815 |
分類號 | 416.26 |
關鍵詞 | 念珠菌; 脊椎; 頸椎骨髓炎; Candida; Vertebral; Cervical osteomyelitis; |
語文 | 英文(English) |
中文摘要 | 念珠菌是一種低毒性黴菌,存在於皮膚與黏膜,除非病人有免疫對全或抵抗力不佳,一般不易感染人體。而念珠菌引起之脊椎骨髓炎在臨床上更為罕見。我們報告一位51歲男性病患,在接受攝護腺手術後,因泌尿道感染而引起第五,六節頸椎骨髓炎。病八主術頸部疼痛,有神經根症狀,經核磁共振檢查後發現脊髓外有膿瘍壓迫。手術清創與減壓後,病理切片顯示為念珠菌感染。Amphotericin B治療後感染得到控制,病患接受頸椎後固定術後出院,在六個月追?期內病患反應良好。本文並檢討文獻中有關念珠菌脊椎骨髓炎的病例報告,在這些病例報當中,發現開刀治療的比例比細菌性椎炎為高,其原因可能是沒有早期診斷出念珠菌感染。 |
英文摘要 | Candida species are low virulence organisms which inhabit the skin and mucous membranes of most individuals. There has been increasing incidence of disseminated and deepseated Candida infections owing to the increasing number of immune compromised hosts. However, the Candida species are still rarely suggested as causative pathogens of vertebral osteomyelitis. We present a 51-year-old man with neck pain and cervical radiculopathy. Three months prior to visiting our hospital, he had undergone a urological operation which was complicated by urinary tract infection. Magnetic resonance imaging and X-rays showed erosion of the body of the 5th cervical spine and collapse of the C5-C6 disc. After open debridement, tissue pathology results revealed Candida infection. Clinical stability was achieved during the 6-month follow-up period with a combination of amphotericin B and posterioir fixation method. We reviewed the literature and found a high rate of surgical intervention for patients suggested of having Candida vertebral ostemoyelitis. However, the surgical intervention for patients suggested of having Candida vertebral osteomyelitis. However, the surgical intervention may not be necessary. Early diagnosis using noninvasive percutaneous needle biopsy may help reduce the incidence of delayed treatment. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。