PDF(Pubmed)
Abstract：
Infections associated with healthcare manipulations, particularly bloodstream infections stemming from catheters and medical devices, significantly heighten the probability of vertebral osteomyelitis. The diagnosis of infective endocarditis (IE) frequently overlaps with vertebral osteomyelitis (VO). In cases where individuals are suspected of having hematogenous vertebral osteomyelitis and have an intravascular catheter or device, it is recommended to undertake blood culture collection. We present a case of a 39-year-old male with a history of interventional AVM embolization and cerebral angiography, experiencing recurrent vertebral osteomyelitis. No definitive source of infection had been found, and transthoracic echocardiography (TTE) yielded negative results for IE. In Trans Esophageal Echocardiography (TEE), a retained micro-catheter extending from the aortic arch to the inguinal artery was discovered. Although we cannot definitively attribute the source of the osteomyelitis to the retained micro-catheter, no episodes of infection have been reported ever since. This case underscores the need to enhance our approaches and guidelines related to operating protocols in the surgical setting. Improving these guidelines can prevent similar occurrences in the future, emphasizing the importance of continuous improvement in healthcare practices.
摘要：
与医疗保健操作相关的感染，特别是源于导管和医疗设备的血流感染，显著增加椎体骨髓炎的概率。感染性心内膜炎（IE）的诊断通常与椎体骨髓炎（VO）重叠。在怀疑患有血源性椎体骨髓炎并有血管内导管或装置的情况下，建议进行血培养采集。我们介绍了一个39岁的男性，有介入性AVM栓塞和脑血管造影史，经历复发性椎体骨髓炎。没有发现明确的感染源,经胸超声心动图（TTE）对IE结果呈阴性。在经食管超声心动图（TEE）中，发现保留的微导管从主动脉弓延伸至腹股沟动脉.虽然我们不能明确地将骨髓炎的来源归因于保留的微导管，此后未出现感染事件.这种情况强调了需要在手术环境中加强与手术方案相关的方法和指南。改进这些指南可以防止将来发生类似情况，强调不断改进医疗保健实践的重要性。
