Spinal epidural abscess due to coinfection of bacteria and tuberculosis:A case report

作     者：Choonghyo Kim Seungkoo Lee Jiha Kim 

作者机构：Department of NeurosurgeryKangwon National University School of MedicineChuncheon 24341GangwonSouth Korea Department of NeurosurgeryKangwon National University HospitalChuncheon 24289GangwonSouth Korea Department of Anatomic PathologyKangwon National University School of MedicineChuncheon 24341GangwonSouth Korea Department of Anatomic PathologyKangwon National University HospitalChuncheon 24289GangwonSouth Korea 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2021年第9卷第16期

页      面：4072-4080页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 100204[医学-神经病学] 10[医学] 

主　　题：Bacteremia Coinfection Epidural abscess Tuberculosis Case report 

摘      要：BACKGROUND Spinal epidural abscess(SEA)is a rare condition that mostly results from infection with either bacteria or ***,coinfection with bacteria and tuberculosis is extremely rare,and it results in delays in diagnosis and antimicrobial treatment causing unfavorable *** SUMMARY A 75-year-old female visited the hospital with low back pain,and magnetic resonance imaging(MRI)revealed an SEA at the lumbosacral *** hominis and methicillin-resistant Staphylococcus epidermidis were identified from preoperative blood culture and intraoperative abscess culture,***,the patient underwent treatment with vancomycin medication for 9 wk after surgical drainage of the ***,the low back pain recurred 2 wk after vancomycin *** revealed an aggravated SEA in the same area in addition to erosive destruction of vertebral *** surgery was performed for SEA removal and spinal *** microbiological study and pathological examination confirmed Mycobacterium tuberculosis as the pathogen concurrent with the bacterial *** patient improved completely after 12 mo of antitubercular *** We believe that the identification of a certain pathogen in SEAs does not exclude coinfection with other *** coinfection should be suspected if an SEA does not improve despite appropriate antibiotics for the identified pathogen.