DIPHTHEROIDS AND ASSOCIATED INFECTIONS AS A CAUSE OF FAILED INSTRUMENT STABILIZATION PROCEDURES IN THE LUMBAR SPINE

被引:25
作者
SCHOFFERMAN, L [1 ]
ZUCHERMAN, J [1 ]
SCHOFFERMAN, J [1 ]
HSU, K [1 ]
GUNTHORPE, H [1 ]
PICETTI, G [1 ]
GOLDTHWAITE, N [1 ]
WHITE, A [1 ]
机构
[1] SPINECARE MED GRP,DALY CITY,CA
关键词
OCCULT INFECTION; INFECTION; INTERNAL FIXATION; DIPTHEROID; LUMBAR SPINE; POLYMICROBIAL;
D O I
10.1097/00007632-199103000-00017
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Between February 1985 and October 1987, the authors identified seven patients with occult lumbar spine infections associated with the presence of spinal fixation hardware. Six of these infections were with organisms of low virulence; four of the seven patients had polymicrobial infections. All of the polymicrobial infections contained a Diptheroid as one of the isolates. Two of the seven patients studied had normal sedimentation rates. All had white blood cell counts less than 12,000 cells. Imaging studies were not helpful with the exception of one case with a positive gallium scan. The diagnoses were supported by clinical presentation, pathologic tissue changes, positive cultures, and response to therapy. Successful therapy was obtained by removal of hardware and treatment with antibiotics.
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页码:356 / 358
页数:3
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