PDF(Pubmed)
Abstract：
A spinal epidural abscess is a rare condition characterized by the accumulation of pus between the dura mater and vertebral column, often caused by hematogenous spread from a distant site or local spread from infection in nearby structures. The abscess leads to compression of the spinal cord and can result in neurological damage, including dysfunction or permanent neurological deficits. Treatment of spinal epidural abscesses should not be delayed and requires a combination of decompression by surgical drainage and antibiotic therapy. The authors present a rare case in which a spinal epidural abscess developed from a hospital-acquired pressure ulcer, further complicated by bacteremia.
摘要：
脊髓硬膜外脓肿是一种罕见的疾病，其特征是在硬脑膜和脊柱之间积聚脓液。通常由远处的血源性扩散或附近结构感染引起的局部扩散引起。脓肿导致脊髓受压，并可能导致神经损伤，包括功能障碍或永久性神经功能缺损。脊柱硬膜外脓肿的治疗不应延迟，并且需要通过手术引流和抗生素治疗进行联合减压。作者介绍了一个罕见的病例，其中脊髓硬膜外脓肿是由医院获得性压疮形成的，进一步并发菌血症。
