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硬脊膜外脓肿的诊断在神经病学症状出现前很难做出,并常易误诊。诺卡菌属(nocardia)感染病变很少见,在英国每年仅1000例。作为硬脊膜外脓肿,自1963年以来在英文文献中只报告过5次。本文报告一例诺卡菌属感染所致硬脊膜外脓肿病例。 病例,男性,39岁,下背部疼痛6周,两周前出现间断性尿失禁和肛周麻木,发热,体温38.9℃,呕吐。
The diagnosis of extradural abscess is difficult to make before neurological symptoms appear and is often misdiagnosed. Nocardia infections are rare, with only 1,000 in Britain each year. As an epidural abscess, only 5 reports have been made in English literature since 1963. This article reports a case of Nocardia infections caused by epidural abscess cases. Case, male, 39 years old, lower back pain for 6 weeks, intermittent urinary incontinence and perianal numbness two weeks ago, fever, body temperature 38.9 ° C, vomiting.