PDF(Pubmed)
Abstract：
Poor dentition as a source of infection causing bacteremia and spinal infections (such as paraspinal abscess, and discitis) should be considered even in the absence of recent dental surgery. The case presents a patient found to have an infection in the cervical and thoracic spine, methicillin-resistant Staphylococcus aureus bacteremia, and poor dentition. Although the patient had a history of drug use, he denied a history of intravenous drug use. He had Crohn\'s disease that resulted in periodontal and endodontal tooth disease. The patient was found to have poor dentition with erythematous gums. He had not been to the dentist in over 24 years and had active dental caries. Since he presented with bacteremia and a spinal infection, it is likely the patient had an infection in the oral cavity that spread hematogenously to the blood, and then the spine. This report highlights the importance of considering tooth infections as the source of bacteremia and spinal infections.
摘要：
牙列不良是引起菌血症和脊柱感染的感染源（例如椎旁脓肿，即使在没有最近的牙科手术的情况下，也应考虑这种情况。该病例显示一名患者被发现颈椎和胸椎感染，耐甲氧西林金黄色葡萄球菌菌血症,牙列差。尽管患者有吸毒史，他否认有静脉吸毒史。他患有克罗恩病，导致牙周和牙髓牙病。发现患者牙列不良，牙龈红斑。他已经超过24年没有去过牙医了，并且患有龋齿。因为他出现了菌血症和脊髓感染,患者口腔感染很可能通过血液向血液扩散，然后是脊柱。本报告强调了将牙齿感染视为菌血症和脊柱感染来源的重要性。
