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Diagnosis of a case of Mycobacterium abscessus spondylitis

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Author:
No author available
Journal Title:
Chinese Journal of Clinical Infectious Diseases
Issue:
4
DOI:
10.3760/cma.j.issn.1674-2397.2021.04.009
Key Word:
分枝杆菌感染,非典型性;脓肿分枝杆菌;非结核分枝杆菌;脊柱炎;诊断;Mycobacterium infections, atypical;Mycobacterium abscessus;Nontuberculous mycobacteria;Spondylitis;Diagnosis

Abstract´╝Ü 脓肿分枝杆菌脊柱炎临床上较为少见,实验室检查及影像学特征并不典型,病理结果可辅助诊断,需积极进行细菌培养和鉴定明确诊断。如能做到早发现、早诊断和早治疗,对患者的预后具有重要的意义。本文报道1例老年女性胸椎压缩性骨折并椎旁感染患者,行后路胸椎管减压、第8胸椎肿物切除+人工椎体、植骨内固定术。术后病理结果提示"倾向"结核分枝杆菌感染,出院后开始进行抗结核药物治疗,术后3周余患者因伤口出现积液并破溃,连续3次采集分泌物进行细菌培养及鉴定,经质谱鉴定检测最终明确致病菌为脓肿分枝杆菌。

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