坐骨神经痛
痤疮丙酸杆菌
医学
丙酸杆菌
外科
皮肤病科
细菌
生物
痤疮
遗传学
作者
Allan Stirling,T. Worthington,Mohammed Rafiq,Peter A. Lambert,Tom S J Elliott
出处
期刊:The Lancet
[Elsevier]
日期:2001-06-01
卷期号:357 (9273): 2024-2025
被引量:278
标识
DOI:10.1016/s0140-6736(00)05109-6
摘要
Summary
We hypothesised that the inflammation seen around the nerve root in patients with sciatica may be caused by microbial infection. We used a newly developed serological test to diagnose deep-seated infections caused by low virulent gram-positive microorganisms. 43 of 140 (31%) patients with sciatica tested positive. Intervertebral disc material from a further 36 patients with severe sciatica who had undergone microdiscectomy was cultured for the presence of microorganisms. 19 of these patients (53%) had positive cultures after long-term incubation. Propionibacterium acnes was isolated from 16 of the 19 (84%) positive samples. Low virulent microorganisms, in particular P acnes, might be causing a chronic low-grade infection in the lower intervertebral discs of patients with severe sciatica. These microorganisms could have gained access to the spinal disc after previous minor trauma.
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