1例椎间隙感染的误诊讨论

Discussion on the misdiagnosis of an intervertebral space infection case

目的:分析1例椎间隙感染被误诊的原因,分享经验,避免临床误诊。方法:结合详细的病例资料,探讨并分析误诊原因,总结经验教训。结果:椎间隙感染发病率低,对其认识不足,对病情分析不够全面、细致是导致误诊的主要原因。结论:发热、剧烈痉挛性腰背痛的病人,红细胞沉降率(Erythrocyte sedimentation rate,ESR)和C-反应蛋白(C-reactive protein,CRP)持续增高,磁共振检查提示病灶呈T1加权像低信号、T2加权像高信号影,应高度怀疑椎间隙感染可能。

Objective：To discuss the causes of misdiagnosis of an intervertebral infection case and summarize experiences so as to avoid misdiagnosis.Methods：Causes of misdiagnosis were discussed and analyzed,and experiences were summarized based on the detailed clinical data.Results：Insufficient knowledge of intervertebral space infection,of which the incidence rate is low,and failure to analyze the case comprehensively and meticulously enough were the main causes of misdiagnosis.Conclusion：Patients should be highly considered the possibility of intervertebral space infection,who have fever and severe spastic low back pain with erythrocyte sedimentation rate（ESR） and C-reactive protein（CRP） increased,with MRI showing T1WI low signal and T2WI high signal lesion.