肺出血是一种罕见的疾病,在椎管中发现气穴,病因可以分为创伤性和非创伤性,后者进一步分类为自发的,医源性,并与感染有关。感染原因通常与气体形成生物相关,并且与显著的发病率和死亡率相关。通常在完成成像之前不怀疑诊断。我们报告了一名57岁的男子发烧的病例,背痛,小腿无力,还有排尿困难.用于评估腹内败血症的计算机断层扫描扫描偶然显示了影响胸和腰椎水平的肺出血,气体形成的椎旁脓肿,前列腺脓肿,肝硬化,和乙状结肠癌。血培养分离肺炎克雷伯菌。患者在静脉注射抗生素六周后康复,随后进行乙状结肠切除术和化疗。文献综述确定了63例与感染相关的肺出血,可分为自发性肺出血感染(主要是呼吸道感染)。肺炎感染(主要是肺气肿感染),和医源性感染和肺出血(主要是脊柱后干预)。与其他两个类别相比,肺出血感染发生在年龄较大的人群中,死亡率较高。
Pneumorrhachis is a rare entity, where air pockets are found in the spinal canal and the etiology can be categorized into traumatic and non-traumatic, the latter further categorized into spontaneous, iatrogenic, and associated with infections. Infective causes are often associated with gas-forming organisms and are associated with significant morbidity and mortality. Often the diagnosis is not suspected until imaging is done. We report the
case of a 57-year-old man who presented with fever, backache, lower leg weakness, and dysuria. A computed tomography scan for evaluation of intra-abdominal sepsis incidentally showed
pneumorrhachis affecting the thoracic and lumbar levels, gas-forming paraspinal abscess, prostate abscess, liver cirrhosis, and sigmoid colon carcinoma. Blood culture isolated Klebsiella pneumoniae. The patient recovered after six weeks of intravenous antibiotics followed later by sigmoid colectomy and chemotherapy. A literature review identified 63 cases of pneumorrhachis associated with infections and can be categorized into infections with spontaneous pneumorrhachis (predominantly respiratory tract infections), infections with pneumorrhachis (predominantly with emphysematous infections), and iatrogenic with infections and
pneumorrhachis (predominantly postspinal interventions). Infections with
pneumorrhachis occurred in older age groups and were associated with higher mortality compared to the other two categories.