vertebral discitis

椎间盘炎
  • 文章类型: Case Reports
    与Pott脊柱相关的关节炎是一个罕见但严重的问题,由于年龄相关的身体变化和并发的健康问题,老年人尤其难以管理。本报告详细介绍了一名患有与Pott脊柱相关的椎间盘炎的高级患者的基于物理治疗的成功康复。个人,一个61岁的男人,出现的症状包括剧烈的背痛,限制移动,和神经问题。通过影像学扫描证实了诊断,表明脊柱结核和椎间盘受累。治疗包括一种综合方法,包括药物治疗和理疗。旨在缓解疼痛的理疗方案,增强脊柱的灵活性,加强虚弱的肌肉,促进功能自治。技术,如手动治疗,有针对性的练习,并采用患者教育。尽管患者的年龄和现有条件带来的挑战,显著增强疼痛管理,移动性,在康复过程中注意到日常运作。这个案例强调了迅速诊断的重要性,协作式护理,和个性化的物理治疗干预措施,以实现老年患者与Pott脊柱相关的椎间盘炎的积极结果。需要进一步的调查来描述老年人这种复杂状况的最佳康复方法。
    Discitis linked to Pott\'s spine is an infrequent yet severe issue, especially difficult to manage among elderly individuals due to age-related bodily changes and concurrent health issues. This report details the successful physiotherapy-based recovery of a senior patient afflicted with discitis related to Pott\'s spine. The individual, a 61-year-old man, presented symptoms including intense back pain, restricted movement, and neurological issues. The diagnosis was confirmed via imaging scans, indicating spinal tuberculosis and vertebral disc involvement. Treatment embraced a comprehensive approach involving medication alongside physiotherapy. The physiotherapeutic regimen aimed at pain alleviation, enhancing spinal flexibility, strengthening weakened muscles, and promoting functional autonomy. Techniques such as manual therapy, targeted exercises, and patient education were employed. Despite the challenges posed by the patient\'s age and existing conditions, significant enhancements in pain management, mobility, and everyday functioning were noted during the rehabilitation journey. This case underscores the significance of prompt diagnosis, collaborative care, and personalized physiotherapeutic interventions in attaining positive outcomes for elderly patients grappling with discitis associated with Pott\'s spine. Further investigation is needed to delineate optimal rehabilitation approaches for this intricate condition among the elderly.
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  • 文章类型: Case Reports
    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。
    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.
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  • 文章类型: Case Reports
    沙门氏菌病是全球食源性疾病的常见原因,表现为非侵入性非伤寒沙门氏菌病,侵袭性非伤寒沙门氏菌病,还有伤寒.在患有血红蛋白病和免疫功能低下的成年人的儿童中,它也很少表现为沙门氏菌骨髓炎,在没有明显危险因素的免疫活性宿主中,甚至很少表现为骨髓炎。我们的病例是一名38岁的具有免疫能力的男性,由于暴露于受污染和未煮熟的家禽,没有明显的危险因素,活检证实为沙门氏菌椎间盘炎。它说明了即使在有免疫能力的患者中也要进行彻底和完整的病史,并通过及时靶向治疗沙门氏菌骨髓炎/盘炎来早期识别以防止不利结果的重要性。
    Salmonellosis is a common cause of foodborne illness worldwide, manifesting as non-invasive non-typhoidal salmonellosis, invasive non-typhoidal salmonellosis, and typhoid fever. It also rarely presents as Salmonella osteomyelitis in children with hemoglobinopathies and immunocompromised adults and even rarer osteomyelitis in an immunocompetent host without significant risk factors. Our case is of a 38-year-old immunocompetent male without significant risk factors presented with biopsy proven Salmonella vertebral discitis due to exposure to contaminated and undercooked poultry. It illustrates the importance of thorough and complete history taking even in immunocompetent patients and early recognition with prompt targeted treatment of Salmonella osteomyelitis/discitis to prevent unfavorable outcomes.
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  • 文章类型: Case Reports
    腹腔镜可调节胃束带术(LAGB)是一种流行的减肥手术,用于帮助减轻体重。尽管LAGB后可能会出现明显的并发症,他们是罕见的。引起椎间盘炎和骨髓炎的LAGB非常罕见,只有一个报告的病例。在这个案例报告中,我们描述了一名中年妇女由于LAGB导管脱离而经历了椎间盘炎和骨髓炎的情况,它侵蚀了她的胃和盲肠的一部分。总的来说,该病例突出了LAGB引起椎间盘炎和骨髓炎的罕见但潜在的并发症.应监测有LAGB放置史的患者的这种可能性,并需要进一步调查以确定和减轻风险因素。
    Laparoscopic adjustable gastric banding (LAGB) is a popular bariatric surgical procedure used to aid in weight loss. Although significant complications may occur after LAGB, they are rare. LAGB causing discitis and osteomyelitis are incredibly rare, with only one other reported case. In this case report, we describe the case of a middle-aged woman who experienced discitis and osteomyelitis due to a disengaged LAGB catheter, which had eroded through her stomach and a part of her cecum. Overall, this case highlights the rare but potential complication of LAGB causing discitis and osteomyelitis. Patients with a history of LAGB placement should be monitored for this possibility and further investigation is needed to identify and mitigate risk factors.
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  • 文章类型: Case Reports
    虽然B型流感嗜血杆菌(Hib)在文献中有很好的描述会导致骨髓炎,不可分型的流感嗜血杆菌没有。在常规接种疫苗的地区,Hib的患病率有所下降,然而,相比之下,不可分型的H型流感的患病率有所增加.一般来说,不可分型的菌株侵入性较小,但可以通过上皮紧密连接的透壁迁移或通过独立的细胞间机制进入血管系统。在这里,我们描述了一例79岁的男性患者,其中首例为不可分型的流感嗜血杆菌引起的宫颈骨髓炎和相关的菌血症,患者为一名老年人.
    While Haemophilus influenzae type B (Hib) is well described in the literature to cause osteomyelitis, non-typeable H. influenzae has not. In areas where vaccination is routine, the prevalence of Hib has declined, whereas, in contrast, the prevalence of non-typeable H. influenza has increased. Generally, the non-typeable strains are less invasive but can access the vascular system by transmural migration through epithelial tight junctions or by an independent intercellular mechanism. Herein, we described a case of a 79-year-old man with the first case of non-typeable H. influenzae causing cervical osteomyelitis with associated bacteremia in an elderly adult.
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