Revista da Sociedade Brasileira de Medicina Tropical · 2026
Possible correlation between Mycobacterium abscessus subsp. massiliense spondylodiscitis and spinal anesthesia: Diagnostic and therapeutic challenges.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Casaccio Henrique Soares, Martinelli Júlia Lustosa, Vasconcellos Pedro Augusto Simão, Garcia Mariani de Lima, Lima Lucas de Noronha, Povoa Matheus Oliveira, Paranhos Andressa Caroline, Santana Alessa de Andrade, Gatti Julia Domingues, Santos Nanci Michele Saita, Vigani Aline Gonzalez, Mendes Elisa Teixeira, Conterno Lucieni de Oliveira, Stucchi Raquel Silveira Bello, Aoki Francisco Hideo, Garcia Márcia Teixeira, Resende Mariângela Ribeiro, Martins Antonio Camargo
Аннотация
Spinal infections caused by Mycobacterium abscessus are rare and difficult to treat. We report the first case of M. abscessus subsp. massiliense spondylodiscitis temporally associated with spinal anesthesia. A 57-year-old man developed back pain after undergoing spinal anesthesia for prostate surgery. Six months later, decompressive laminectomy was performed; results for bacterial and fungal culture and molecular testing for Mycobacterium tuberculosis were negative. Two years later, a mycobacterial culture of material from a paravertebral abscess revealed the presence of M. abscessus, later identified as subsp. massiliense. Treatment with imipenem, amikacin, tigecycline, clofazimine, and clarithromycin resulted in clinical and radiological improvement. This report highlights the diagnostic and therapeutic challenges of this case.