紧急程度低
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椎骨骨髓炎是椎骨和椎间隙水平的罕见感染。
感染可由不同的微生物(细菌,真菌,寄生虫)引起。
它的主要症状是脊柱水平的疼痛(不会改善甚至增加强度),发烧,身体某个部位的功能异常,全身无力的存在,异常缺乏进食欲望和不自主的体重减轻。
通过临床病史,详细的完整体格检查,血液检查,培养和成像测试进行诊断。
该治疗基于固定,用于控制症状的药物,血栓预防,营养支持,抗微生物治疗以及手术治疗的进展。
- Malcolm McDonald, PhD, FRACP, FRCPA. Vertebral osteomyelitis and discitis in adults. May 18, 2016. UpToDate.
- Berbari EF, Kanj SS, Kowalski TJ, et al. 2015 Infectious Diseases Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults. Clin Infect Dis 2015; 61:e26.
- Gupta A, Kowalski TJ, Osmon DR, et al. Long-term outcome of pyogenic vertebral osteomyelitis: a cohort study of 260 patients. Open Forum Infect Dis 2014; 1:ofu107.
- Pigrau C, Rodríguez-Pardo D, Fernández-Hidalgo N, et al. Health care associated hematogenous pyogenic vertebral osteomyelitis: a severe and potentially preventable infectious disease. Medicine (Baltimore) 2015; 94:e365.
- Franklin D. Lowy. Infecciones estafilocócias. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición. 954:963.
医生 Elvira Moreno
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