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題 名 | Back Pain Caused by Complicated Staphylococcus Aures Bacteremia in a Hemodialysis Patient=病例報告--血液透析病人金黃色葡萄球菌菌血症後引起的背痛 |
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作 者 | 陳建良; 陳俊全; 周康茹; 方華章; 鍾孝民; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 19:3 民94.09 |
頁 次 | 頁123-126+150 |
分類號 | 415.816 |
關鍵詞 | 血液透析; 金黃色葡萄球菌; 小關節面炎; 硬脊膜上膿瘍; Hemodialysis; Staphylococcus aureus; Facet joint infection; Epidural abscess; |
語 文 | 英文(English) |
中文摘要 | 一位血液透析病人因洗腎插管感染葡萄球菌菌血症,經移除透析插管及手上人工瘻管且合併兩禮拜萬古黴素治療,雖然發燒已退,但一直抱怨背痛,經腰部X光檢查及背部骨頭核醫掃瞄並無特別之處。由於下肢無力臥床且神經學檢查疑有錐間盤凸出神經根壓迫,因此安排腰部核磁共振影像學檢查。意外發現此病人腰錐敗血性小關節面炎合併硬脊膜上膿瘍,但無骨髓炎。此病人拒絕開刀,因此接受腰部電腦斷層影像抽取術,抽取膿瘍培養為葡萄球菌,最後治癒但需助行器。由於血液透析病人時常因透析插管,感染葡萄球菌菌血症,而葡萄球菌會到處轉移造成心內膜炎、關詳炎及骨髓炎,因此藉此例探討葡萄球菌菌血症後引起的背痛,如何鑑別以及診斷工具,以及腰錐間敗血性關節炎合併硬脊膜上膿瘍治療方法。 |
英文摘要 | A 69-year-old male patient on chronic hemodialysis received two weeks of antimicrobial treatment for previous Staphylococcus aureus bacteremia secondary to hemodialysis catheter and AV graft infection. He then complained of back pain without pyrexia for seven days prior to receiving additional exam. Plain X-ray examination and bone scan revealed negative findings, but magnetic resonance imaging (MRI) was recommended to rule out spinal root lesion due to the presence of rrot sign. In addition to mild lumbar-sacral herniation of intervertebral discs and spinal stenosis, MRI showed facet joints infection of the third and fourth lumbar vertebral bodies with paraspinal abscess and epidural invasion was found. The computed tomography-guided abscess aspiration culture revealed Oxacillin resistant Staphylococcus aureus. On the account of frequent skin punctures, it is not surprising hemodialysis patients may assume a higher incidence of Staphylococcus aureus bacteremia associated infection. However, septic arthritis of lumbar facet joints without vertebral body osteomyelitis is a rare condition and presents a problem in diagnosis. Thus alertness is necessary for early detection that is difficult in patients with subtle or atypical manifestation. |
本系統中英文摘要資訊取自各篇刊載內容。