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Night shift, try not to translate the you,----Cross-examine history, patients with pig disease without such animals before contact with
these animals, nor vivid, patients with products of hui, no more pork edible history.
According to antimicrobial susceptibility test results has applied cefoperazone and
compound's new and rifampacin --. But high fever, chills, still cannot be controlled
symptom onset seizures, and every day, the first - began lumbago, lumbar spine X-ray
normal, giving oral antiphlogistic painkillers May 2, 750 mg moby-dick, after treatment,
the waist/still pain, bedridden. Mri signal hint L4/5 disc is changed, there pus in
intervertebral space already, the rear gb pus like intervertebral disc, the same into
sedation vertebral bone destruction is inferior, the corresponding bilateral waist muscles
plane in the abscess.
In general, descending into orthopaedic lumbar posterior lumbar 4, 5 lamina resection,
exploration, open L4/5 clearance, immediately after all there yellow viscous medium, and
pus flow 4ml disc nucleus pulposus in degeneration and broken. Surgical removal of
intervertebral disc degeneration necrosis as far as possible, rinsed repeatedly
intervertebral space, dural rear surfaces placed the tube, properly fixed, the two
confirmed lavage and drainage unblocked and closed after the wound. Postoperative from a
tube perfusion antibiotics physiological saline, another tube after negative pressure.
Because the patient during a change from the asana, in apparent flaxen purulent content
derivation, 3ml about. After 1 week, liquid crystal temperature drainage normal after
uproot the tube. After the surgery, the patient temperature decreased gradually to reduce
lumbago, one week after temperature drop to normal. Training for pigs cholera still pus
salmonella. After intravenous antibiotics 2 weeks after discharge continues to serve,
ciprofloxacin 1 months. After a month in protected up activities, waist and flank pain
without neurological symptoms. After six months, the patient waist activity return
temperature is normal. Obstacles, MRI and lumbar 4/5 clearance no abscess lesions,
intervertebral space height is lower than normal. X-ray examination reealed waist April/may
narrow intervertebral space, bottom flange bone formation bridge. Follow-up to March 2009,
has recovered completely without lumbago, etc, the instability of the lumbar spine.
Asked the medical history, prior to the onset of patients with no contact with animals such as pigs, it no products with such a vivid history of exposure to animals, the Department of muslim patients, but no history of pork consumption. According to the application of sensitivity tests have cefoperazone, sulfamethoxazole and rifampicin ------。 However, high fever, chills still beyond the control of symptoms, daily attacks, ----- to the incidence of the first day, began to lower back pain, lumbar spine X-ray film abnormalities not to give oral anti-inflammatory painkiller Mobic 7.5mg, 2 / day after treatment is still waist pain, bedridden. MRI prompted L4 / 5 disc signal has changed, there is pus intervertebral space at the front and the rear, the rear has a similar disc of pus into the spinal canal, as, from top to bottom edge of vertebral body bone without damage, the corresponding plane of bilateral psoas major muscle with no abscess.
Into orthopedics, general anesthesia in lumbar 4,5 posterior lumbar laminectomy, exploratory L4 / 5 space, open the posterior longitudinal ligament, immediately there is light yellow pus-like outflow of middle-thick, about 4ml, degenerative disc nucleus was broken kind. Try surgery to remove the disc degeneration necrosis, repeated washing intervertebral space, the rear surface of the dural sac drainage pipe 2, properly fixed, confirmed lavage, drainage, open, close the wound. After perfusion of antibiotics from a saline wash, then a suction tube. Patients during the first due to changes in posture from a clear tube structures have lead to purulent yellow, about 3ml. 1 weeks after the drainage of fluid pulled clear after the temperature is normal drainage. After surgery in patients with decreased body temperature, low back pain significantly reduced, to 1 week after the temperature returned to normal. Salmonella choleraesuis pus still cultivate. After two weeks of intravenous antibiotics, discharged from service after a month of ciprofloxacin. After a month to get up at the waist under the protection of activity, no back pain and lower limb neurological symptoms. Six months after the referral, barriers to activity in patients with no waist, body temperature normal. Lumbar MRI showed 4 / 5 gap-free abscess lesions, a high degree of intervertebral space has lower than normal. X-ray examination showed lumbar 4 / 5 intervertebral space narrowing, vertebral body to form the leading edge of osteopontin has. Follow-up to March 2009, had fully recovered, no low back pain and other symptoms of lumbar instability.
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