微小单胞菌引起腰椎间隙感染:1例报告和综述
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1.武汉科技大学;2.中国人民解放军中部战区总医院

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基金项目:

武汉市中青年医学骨干人才培养工程项目 湖北省医学青年拔尖人才项目 湖北省自然科学基金青年项目,


A case report and review of lumbar pyogenic spondylodiscitis caused by parvimonas micra
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Affiliation:

1.Wuhan University of science and technology;2.General Hospital, Central Theater Command of PLA

Fund Project:

Wuhan Young and middle-aged medical backbone talents Training project、Hubei Provincial Medical Youth Top-notch Talents Project、Natural Science Foundation of Hubei Province youth Project

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    摘要:

    微小单胞菌(Parvimonas micra,P.micra)是一种革兰氏阳性厌氧球菌,广泛存在于皮肤、口腔黏膜、胃肠道和泌尿生殖系统中。P.micra在牙源性感染中常见,而罕见于椎间隙感染。椎间隙感染的主要病原菌为金黄色葡萄球菌,其次为链球菌和肠球菌,由P.micra引起的椎间隙感染在国内尚无文献报道。本文报告一例通过下一代测序技术(next generation sequencing ,NGS)方法确诊P.micra腰椎间隙感染合并硬膜外脓肿,采用一期腰椎后路病灶清除+取髂骨及同种异体骨植骨融合内固定术治疗后痊愈的病例,并结合文献复习,总结P.micra引起腰椎间隙感染的流行病学特征、发病特点、诊疗经验,为该病的诊疗提出建议。

    Abstract:

    Parvimonas micra ( P. micra ) is an anaerobic gram-positive coccus that is typically found in the skin, oral cavity, gastrointestinal and genitourinary tract. P. micra is frequently found in odontogenic infection but rare observed in intervertebral space infection. Staphylococcus aureus is the major pathogen of intervertebral space infection,followed by streptococcus and enterococcus. To date, no relevant literature has been reported nationally on lumbar infection by P. micra. This article presents a rare case of lumbar interspace infection complicated with epidural abscess diagnosed patient, the diagnosis of which was indicated by next generation sequencing (NGS) and cured by one-stage lumbar posterior debridement, bone fusion and posterior fixation. Based on the literature review, this article summarized the epidemiological characteristics, pathogenesis characteristics, diagnosis and treatment experience of lumbar pyogenic spondylodiscitis caused by P. micra, and put forward suggestions for the diagnosis and treatment of the disease.

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  • 收稿日期:2022-04-21
  • 最后修改日期:2022-07-26
  • 录用日期:2022-11-15
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