Diagnosis and Treatment of Klebsiella Pneumoniae Combined with Enterobacter Cloacae in Lumbar Intervertebral Space Infection
10.13471/j.cnki.j.sun.yat-sen.univ（med.sci）.2023.0316
- VernacularTitle:腰椎间隙感染肺炎克雷伯菌合并阴沟肠杆菌的诊疗
- Author:
Han-wen CHENG
1
;
Zhao-juan WU
2
;
Zhuo-jie LIU
1
;
Hao-yu WU
1
;
Di ZHANG
1
;
Ning WANG
1
;
Chun-hai LI
1
Author Information
1. Department of Orthopedic Surgery， Sun Yat-sen Memorial Hospital， Sun Yat-sen University， Guangzhou 510120， China
2. School of Clinical Medicine， Southwest Medical University， Luzhou 646000， China
- Publication Type:Journal Article
- Keywords:
infection of lumbar intervertebral space;
Klebsiella pneumoniae;
enterobacter cloacae;
differential diagnosis
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2023;44(3):485-489
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the clinical diagnosis and treatment of rare primary lumbar intervertebral space infection with Klebsiella pneumoniae and Enterobacter cloacae， and provide clinical experience for the diagnosis and treatment of this rare spinal infection. MethodsAn elderly male patient with low back pain and numbness in the left lower extremity for more than 7 months， which aggravated for more than 1 week， was diagnosed with lumbar disc herniation after laboratory and imaging examinations. After admission， the symptoms became acutely aggravated， and re-examination of lumbar enhanced MRI showed local enhancement at the posterior edge of the L3/4 intervertebral space. The VAS score was 9 points， and the lumbar JOA score was 6 points. A posterior lumbar interbody fusion of L3-L5 was performed， and L3/4 intervertebral disc specimens were collected during the operation for bacterial culture. ResultsBacterial culture results showed Klebsiella pneumoniae and Enterobacter cloacae infection. The patient was treated with sensitive antibiotics for 6 weeks after the operation， and the patient was cured during the follow-up of half a year after the operation. ConclusionFor middle-aged and elderly patients with clinical manifestations of acute severe low back pain or lower extremity pain， the possibility of spinal infection should be considered when routine laboratory and imaging examinations suggest lumbar degenerative diseases.
