PDF(Pubmed)
Abstract：
UNASSIGNED: Multiple spinal epidual abscesses with multifocal systemic abscess and multiple joint septic arthritis present with a large infective burden resulting in sepsis, systemic inflammatory dysregulation, and multi-organ failure. This requires pre-operative resuscitation and surgery of greater complexity, longer operative duration, and blood loss, creating challenges to surgical management.
UNASSIGNED: A 69-year-old Chinese female presented with multilevel discrete spinal epidural abscesses along the cervical, thoracic, and lumbar spine, alongside concomitant multifocal systemic abscesses and multiple small joint septic arthritis. She received pre-operative resuscitation to restore organ function, reverse acidosis, and coagulopathy, prior tobefore surgical decompression of selected abscesses and joints under a multidisciplinary team. Remaining sites of infection without significant compression were undrained. The patient recovered well with no residual neurological deficits.
UNASSIGNED: Multifocal infections in critically ill patients require a multidisciplinary team for preoperative resuscitation, joint surgical planning, and prioritiszing surgical interventions to prevent excessive surgical stress to the patient.
UNASSIGNED: A 69-year-old Chinese female presented with multilevel discrete spinal epidural abscesses along the cervical, thoracic, and lumbar spine, alongside concomitant multifocal systemic abscesses and multiple small joint septic arthritis. She received pre-operative resuscitation to restore organ function, reverse acidosis, and coagulopathy, prior tobefore surgical decompression of selected abscesses and joints under a multidisciplinary team. Remaining sites of infection without significant compression were undrained. The patient recovered well with no residual neurological deficits.
UNASSIGNED: Multifocal infections in critically ill patients require a multidisciplinary team for preoperative resuscitation, joint surgical planning, and prioritiszing surgical interventions to prevent excessive surgical stress to the patient.
摘要：
■多发性脊柱外脓肿伴多灶性全身性脓肿和多关节化脓性关节炎表现出巨大的感染负担，导致败血症。全身炎症失调，和多器官衰竭。这需要术前复苏和更复杂的手术，手术持续时间较长,失血,给手术管理带来挑战。
■一名69岁的中国女性，表现为颈椎多层离散的脊柱硬膜外脓肿，胸廓,和腰椎，伴随多灶性系统性脓肿和多发性小关节化脓性关节炎。她接受了术前复苏以恢复器官功能，反向酸中毒,和凝血病，在多学科小组下对选定的脓肿和关节进行手术减压之前。没有明显压迫的其余感染部位不排水。患者恢复良好，没有残留的神经功能缺损。
重症患者的多灶性感染需要多学科团队进行术前复苏，联合手术计划，并优先考虑手术干预措施，以防止患者过度的手术压力。
■一名69岁的中国女性，表现为颈椎多层离散的脊柱硬膜外脓肿，胸廓,和腰椎，伴随多灶性系统性脓肿和多发性小关节化脓性关节炎。她接受了术前复苏以恢复器官功能，反向酸中毒,和凝血病，在多学科小组下对选定的脓肿和关节进行手术减压之前。没有明显压迫的其余感染部位不排水。患者恢复良好，没有残留的神经功能缺损。
重症患者的多灶性感染需要多学科团队进行术前复苏，联合手术计划，并优先考虑手术干预措施，以防止患者过度的手术压力。
