Escherichia Coli’nin Etken Olduğu Servikal Spinal Abse

Yıl 2014, Cilt: 2 Sayı: 1, 33 - 36, 12.07.2016

Tarık Akman Bahadır Alkan Adem Bozkurt Aras Mustafa Güven Halil Murat Şen Murat Coşar

Öz

Servikal spinal abse genellikle kan yolu ile yayılım görülürken, daha nadir oranda spontan, cerrahi operasyon sonrası, travmatik olarak da görülebilir. Servikal spinal abse tanısı ve tedavisinin geciktirilmesi durumunda ciddi nörolojik problemler ve sekeller ortaya çıkabilir. Tanı konulduğunda intravenöz antibiyotik tedavisine derhal başlanılmalı ve nörolojik defisit veya spinal deformite varsa hemen cerrahi işlem bu tedaviye eklenmelidir. Servikal bölgede gelişen spinal epidural abse olgusunu bu yazıda sunmayı amaçladık.

Anahtar Kelimeler

Nörolojik defisit, servikal, spinal abse

Cervical Spinal Abscess a Pathogen Agent of Escherichia Coli

Öz

Cervical spinal abscess may occur seldom spontaneously, post operative and post traumatic, but hematogen spreading of infection is the most common occuring way. The delay for the diagnosis and management of cervical spinal abscess can cause to severe neurological some disorders. Administration of antibiotics have to be managed after the diagnosis immediately and additionally, if the patient has a neurological deficit and a spinal deformity surgical procedures should be added to the management of this illness. We present spinal epydural abscess a case of cervical spine in this report.

Anahtar Kelimeler

Cervical, neurological deficit, spinal abscess

Kaynakça

• Schimmer RC, Jeanneret C, Nunley PD. Osteomyelitis of the cervical spine: a potentially dramatic disease. J Spinal Disord Tech 2002; 15 (2): 110-7.
• Sapico FL. Microbiology and antimicrobial threapy of spinal infections. Orthop ClinNorth Am 1996; 27 (1): 9-13.
• Von Eckardstein K, Spuler A, Brauer C. Spontaneous cervical osteomyelitis due to Yersinia enterocolitica in a non-immunocompromised host. Eur J Microbiol Infect Dis 2004; 23 (1): 66-8.
• Acosta FL Jr, Chin CT, Quinones Hinojosa A, Ames CP, Weinstein PR, Chou D. Diagnosis and management of adult pyogenic osteomyelitis of the cervical spine. Neurosurg Focus 2004 E2; 15 (6): 17.
• Korovesis P, Sipiropoulos P, Piperos G. Spinal epydural abscess complicated closed vertebral fracture: a case report and review of literature. Spine 1993; 18 (5): 671-4.
• Barnes B, Alexander JT, Branch CL. Cervical osteomyelitis: a brief review. Neurosurg Focus 2004 E11; 15 (6): 17.
• Stefanovski N, Van Voris LP. Pyogenic vertebral osteomyelitis: report of a series of 23 patients. Contemp Orthop 1995; 31(3): 159-64.
• Bontoux D, Codello L, Debiais F, Lambert de Cursay G, Azais I, Alcalay M. Infectious spondylodiscitis: analysis of a series of 105 cases. Service de Rhumatologie 1992; 59 (6): 401-7.
• Muller A. Bacterial spondylodiscitis after Escherichia coli urinary tract infection. Dtsch Med Wochenschr 2001; 126 (46): 1299-1300.
• Ponte CD, Donald M. Septic discitis resulting from Escherichia coli urosepsis. J Fam Pract 1992; 34 (6): 767-71.
• Boffano M, Bellotti R, De Bernardi M. A specific infectious spondylites: case of lumbar osteomyelitis caused by Escherichia coli secondary to pyelonephritis. Minerva Radiol 1969; 14 (1): 69-98.