Cervical Discitis Associated with Spinal Epidural Abscess Caused by Methicillin-resistant Staphylococcus Aureus : Case Report
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概要
- 論文の詳細を見る
症例はS状結腸切除術施行後に発熱, 咽頭痛, 頸部痛及び肩痛を呈した53歳の男性で中心静脈カテーテルよりMRSAが検出され, 頸椎MRI上咽後膿瘍とC5-6維間板ヘルニアが認められた. その後, 頸椎CT施行直後より四肢麻痺が出現したためC5-6間椎間板切除術を施行したところ, 頸髄硬膜外膿瘍を伴う頸椎椎間板炎であることが判明した. 術中得られた膿培養から、MRSAが同定され, 術後持続ドレナージと化学療法により杖歩行可能にまで改善した. 脊椎感染症の早期診断にMRIが有用であるといわれているが, 椎間板ヘルニアと紛らわしいMR像を呈した頸髄硬膜外膿瘍を伴う頸椎椎間板炎を経験し注意が必要であると思われた.
- 1996-01-15
著者
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澤田 元史
松波総合病院脳卒中センター
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澤田 元史
総合大雄会病院脳神経外科
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澤田 元史
松波総合病院脳神経外科
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SAKAI Noboru
Department of Neurosurgery,Gifu University School of Medicine
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澤田 元史
松波総合病院 脳神経外科
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IWAMURA Makoto
松波総合病院脳神経外科
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HIRATA Toshifumi
松波総合病院脳神経外科
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Sakai Noboru
Department Of Food Engineering Tokyo University Of Fisheries
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