nidНефрология и диализNephrology and Dialysis1680-44222618-9801Российское диализное обществоnid-3182Research ArticleШКОЛА НЕФРОЛОГАEDUCATIONAL MATERIALSБоли в спине и стафилококковая бактериемия у пациентов на гемодиализе: необходима бдительность!Back pain and Staphylococcal bacteraemia in haemodialysed patients: beware!КорзетсА. .AsherKorzetsnoemail@neicon.ruВейнстейнТ. .TaliaWeinsteinnoemail@neicon.ruОриЯ. .YaacovOrinoemail@neicon.ruГоренМ. .MenachemGorennoemail@neicon.ruШаньякА. .AvriChagnacnoemail@neicon.ruХерманМ. .MichalHermannnoemail@neicon.ruЗевинД. .DinaZevinnoemail@neicon.ruГафтерУ. .UziGafternoemail@neicon.ruОтделение нефрологии Медицинского центра им. И. Рабина, Петах Тиква; Медицинский институт им. Саклера, Университет Тель-Авива, ИзраильRussian FederationОтделение нефрологии Медицинского центра им. И. Рабина, Петах ТикваRussian Federationотделение рентгенологии Медицинского центра им. И. Рабина, Петах Тиква; Медицинский институт им. Саклера, Университет Тель-Авива, ИзраильRussian Federation20022806202543206209Copyright © Корзетс А..., Вейнстейн Т..., Ори Я..., Горен М..., Шаньяк А..., Херман М..., Зевин Д..., Гафтер У..., 20252025Корзетс А..., Вейнстейн Т..., Ори Я..., Горен М..., Шаньяк А..., Херман М..., Зевин Д..., Гафтер У...Asher K., Talia W., Yaacov O., Menachem G., Avri C., Michal H., Dina Z., Uzi G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.nephro.ru/jour/article/view/3182

Введение Стафилококковые инфекции часто встречаются у гемодиализных пациентов и бактериемия Staphilococcus aureus (S. aureus) является частой причиной заболеваемости и смертности этих пациентов. Входными воротами стафилококковой бактериемии в большинстве случаев являются катетер постоянного сосудистого доступа или катетеры центральных вен. Гематогенные осложнения стафилококковой бактериемии включают эндокардит, перикардит, пневмонию и эмпиему [3]. В данной статье описаны два случая, в которых бактериемия метициллин-резистентным штаммом S. aureus (MRSA) осложнилась возникновением метастатических очагов инфекции в костной и нервной тканях. Оба пациента жаловались на сильнейшие боли в спине. Важность этого симптома будет обсуждена в дальнейшем. * Печатается с разрешения Oxford University Press, перевод И.В. Островской.

ReferencesBommer J. Medical complications of the long-term dialysis patient. In: Cameron S, ed. Oxford textbook of nephrology. Oxford University Press, Oxford 1992; 1452-1453.Bommer J. Medical complications of the long-term dialysis patient. In: Cameron S, ed. Oxford textbook of nephrology. Oxford University Press, Oxford 1992; 1452-1453.Torda A.J., Gottlieb T., Bradbury R. Pyogenic vertebral osteomyelitis: analysis of 20 cases and review. Clin Infect Dis 1995; 20: 320-328.Torda A.J., Gottlieb T., Bradbury R. Pyogenic vertebral osteomyelitis: analysis of 20 cases and review. Clin Infect Dis 1995; 20: 320-328.Waldvogel F.A. Slaphylococcus aureus (including Toxic Shock Syndrome). In: Mandell G.L., ed. Principles and practice of infectious diseases. Churchill Livingstone, New York 1995; 1754-1776.Waldvogel F.A. Slaphylococcus aureus (including Toxic Shock Syndrome). In: Mandell G.L., ed. Principles and practice of infectious diseases. Churchill Livingstone, New York 1995; 1754-1776.Carragee E.J. Pyogenic vertebral osteomyelitis. J Bone Joint Surg Am 1997; 79: 874-880.Carragee E.J. Pyogenic vertebral osteomyelitis. J Bone Joint Surg Am 1997; 79: 874-880.Nair S., Song Y., Meghji S., Reddi K., Harris M., Ross A., Poole S., Wilson M., Henderson B. Surface-associated proteins from Staphylococcus aureus demonstrate potent bone resorbing activity. J Bone Miner Res 1995; 10: 726-734.Nair S., Song Y., Meghji S., Reddi K., Harris M., Ross A., Poole S., Wilson M., Henderson B. Surface-associated proteins from Staphylococcus aureus demonstrate potent bone resorbing activity. J Bone Miner Res 1995; 10: 726-734.Musher D.M., Lamm N., Darouiche R.O., Young E.J., Hamill R.J., Landon G.C. The current spectrum of Staphylococcus aureus infection in a tertiary care hospital. Medicine 1994; 73: 186-208.Musher D.M., Lamm N., Darouiche R.O., Young E.J., Hamill R.J., Landon G.C. The current spectrum of Staphylococcus aureus infection in a tertiary care hospital. Medicine 1994; 73: 186-208.Calderone R.R., Larsen J.M. Overview and classification of spinal infections. Orthop Clin North Am 1996; 27: 1-8.Calderone R.R., Larsen J.M. Overview and classification of spinal infections. Orthop Clin North Am 1996; 27: 1-8.Strausbaugh L.J. Vertebral osteomyelitis. How to differentiate it from other causes of back pain. Postgrad Med 1995; 97: 147-148.Strausbaugh L.J. Vertebral osteomyelitis. How to differentiate it from other causes of back pain. Postgrad Med 1995; 97: 147-148.Arnold P.M., Baek P.N., Bernardi R.J., Luck E.A., Larson S.J. Surgical management of non-tuberculous thoracic and lumbar vertebral osteomyelitis: report of 33 cases. Surg Neural 1997; 47: 551-561.Arnold P.M., Baek P.N., Bernardi R.J., Luck E.A., Larson S.J. Surgical management of non-tuberculous thoracic and lumbar vertebral osteomyelitis: report of 33 cases. Surg Neural 1997; 47: 551-561.Palestro C.J. The current role of gallium imaging in infection. Semin Nucl Med 1994; 24: 128-141.Palestro C.J. The current role of gallium imaging in infection. Semin Nucl Med 1994; 24: 128-141.Carragee E.J. The clinical use of magnetic resonance imaging in pyogenic vertebral osteomyelitis. Spine 1997; 22: 780-785.Carragee E.J. The clinical use of magnetic resonance imaging in pyogenic vertebral osteomyelitis. Spine 1997; 22: 780-785.Dagirmanjian A., Schils J., McHenry M., Modic M.T. MR imaging of vertebral osteomyelitis revisited. Am J Roentgenol 1996; 167: 1539-1543.Dagirmanjian A., Schils J., McHenry M., Modic M.T. MR imaging of vertebral osteomyelitis revisited. Am J Roentgenol 1996; 167: 1539-1543.Al-Soub H., Uwaydah A.K., Hussain A.H. Vertebral osteomyelitis in Qatar. Br J Clin Pract 1994; 48: 130-132.Al-Soub H., Uwaydah A.K., Hussain A.H. Vertebral osteomyelitis in Qatar. Br J Clin Pract 1994; 48: 130-132.Raad I.I., Sabbagh M.F. Optimal duration of therapy for catheter-related Staphylococcus aureus bacteremia: a study of 55 cases and review. Clin Infect Dis 1992; 14: 75-82.Raad I.I., Sabbagh M.F. Optimal duration of therapy for catheter-related Staphylococcus aureus bacteremia: a study of 55 cases and review. Clin Infect Dis 1992; 14: 75-82.Ozuna R.M., Delamarter R.B. Pyogenic vertebral osteomyelitis and postsurgical disc space infections. Orthop Clin North Am 1996; 27: 87-94.Ozuna R.M., Delamarter R.B. Pyogenic vertebral osteomyelitis and postsurgical disc space infections. Orthop Clin North Am 1996; 27: 87-94.Fang D., Cheing K.M., Dos-Remedios I.D., Lee Y.K., Leong J.C. Pyogenic vertebral osteomyelitis: treatment by anterior spinal debridement and fusion. J Spinal Disord 1994; 7: 173-180.Fang D., Cheing K.M., Dos-Remedios I.D., Lee Y.K., Leong J.C. Pyogenic vertebral osteomyelitis: treatment by anterior spinal debridement and fusion. J Spinal Disord 1994; 7: 173-180.Rath S.A., Neff U., Schneider O., Richter H.P. Neurosurgical management of thoracic and lumbar vertebral osteomyelitis and discitis in adults: a review of 43 consecutive surgically treated patients. Neurosurgery 1996; 38: 926-933.Rath S.A., Neff U., Schneider O., Richter H.P. Neurosurgical management of thoracic and lumbar vertebral osteomyelitis and discitis in adults: a review of 43 consecutive surgically treated patients. Neurosurgery 1996; 38: 926-933.Gepstein R., Folman Y., Lidor C., Barchilon V., Catz A., Hillel T. Management of pyogenic vertebral osteomyelitis with spinal cord compression in the elderly. Paraplegia 1992; 30: 795-798.Gepstein R., Folman Y., Lidor C., Barchilon V., Catz A., Hillel T. Management of pyogenic vertebral osteomyelitis with spinal cord compression in the elderly. Paraplegia 1992; 30: 795-798.Nussbaum E.S., Rigamonti D., Standiford H., Numaguchi Y., Wolf A.L., Robinson W.L. Spinal epidural abscess: a report of 40 cases and review. Surg Neurol 1992; 38: 225-231.Nussbaum E.S., Rigamonti D., Standiford H., Numaguchi Y., Wolf A.L., Robinson W.L. Spinal epidural abscess: a report of 40 cases and review. Surg Neurol 1992; 38: 225-231.Obrador G.T., Levenson D.J. Spinal epidural abscess in haemodialysis patients: report of 3 cases and review of the literature. Am J Kidney Dis 1996; 27: 75-83.Obrador G.T., Levenson D.J. Spinal epidural abscess in haemodialysis patients: report of 3 cases and review of the literature. Am J Kidney Dis 1996; 27: 75-83.Kovalik E.C., Raymond J.R., Albers F.J., Berkoben M., Butterly D.W., Montella B., Conlon P.J. A clustering of epidural abscesses in chronic hemodialysis patients: risks of salvaging access catheters in cases of infection. J Am Soc Nephrol 1996; 7: 2264-2267.Kovalik E.C., Raymond J.R., Albers F.J., Berkoben M., Butterly D.W., Montella B., Conlon P.J. A clustering of epidural abscesses in chronic hemodialysis patients: risks of salvaging access catheters in cases of infection. J Am Soc Nephrol 1996; 7: 2264-2267.Darouiche R.O., Hamill R.J., Greenberg S.B., Weathers S.W., Musher D.M. Bacterial spinal epidural abscess. Review of 43 cases and literature survey. Medicine 1992; 71: 369-385.Darouiche R.O., Hamill R.J., Greenberg S.B., Weathers S.W., Musher D.M. Bacterial spinal epidural abscess. Review of 43 cases and literature survey. Medicine 1992; 71: 369-385.Redekop G.J., Del-Maestro R.F. Diagnosis and management of spinal epidural abscess. Can J Neurol Sci 1992; 19: 180-187.Redekop G.J., Del-Maestro R.F. Diagnosis and management of spinal epidural abscess. Can J Neurol Sci 1992; 19: 180-187.Rigamonti D., Liem L., Wolf A.L., Fiandaca M.S., Numaguchi Y., Hsu F.P., Nussbaum E.S. Epidural abscess in the cervical spine. Mt Sinai J Med 1994; 61: 357-362.Rigamonti D., Liem L., Wolf A.L., Fiandaca M.S., Numaguchi Y., Hsu F.P., Nussbaum E.S. Epidural abscess in the cervical spine. Mt Sinai J Med 1994; 61: 357-362.Teman A.J. Spinal epidural abscess. Early detection with gadolinium magnetic resonance imaging. Arch Neurol 1992; 49: 743-746.Teman A.J. Spinal epidural abscess. Early detection with gadolinium magnetic resonance imaging. Arch Neurol 1992; 49: 743-746.Lang I.M., Hughes D.G., Jenkins J.P., St-Clair-Forbes W., Mc Kenna F. MR imaging appearances of cervical epidural abscess. Clin Radiol 1995; 50: 466-471.Lang I.M., Hughes D.G., Jenkins J.P., St-Clair-Forbes W., Mc Kenna F. MR imaging appearances of cervical epidural abscess. Clin Radiol 1995; 50: 466-471.Sadato N., Numaguchi Y., Rigamonti D., Kodama T., Nussbaum E., Sato S., Rothman M. Spinal epidural abscess with gadolinium-enhanced MRI: serial follow-up studies and clinical correlations. Neuroradiology 1994; 36: 44-48.Sadato N., Numaguchi Y., Rigamonti D., Kodama T., Nussbaum E., Sato S., Rothman M. Spinal epidural abscess with gadolinium-enhanced MRI: serial follow-up studies and clinical correlations. Neuroradiology 1994; 36: 44-48.Klein M., Ahn C.S., Drum D.E., Tow D.E. Gallium-67 scintigraphy as an aid in the detection of spinal epidural abscess. Clin Nucl Med 1994; 19: 761-762.Klein M., Ahn C.S., Drum D.E., Tow D.E. Gallium-67 scintigraphy as an aid in the detection of spinal epidural abscess. Clin Nucl Med 1994; 19: 761-762.Mak K.H., Au K.K., Fung K.Y., Chan Y.W. Spinal epidural abscess: a report of 9 cases and the use of intra-operative ultrasonography. Aust NZ J Surg 1996; 66: 287-290.Mak K.H., Au K.K., Fung K.Y., Chan Y.W. Spinal epidural abscess: a report of 9 cases and the use of intra-operative ultrasonography. Aust NZ J Surg 1996; 66: 287-290.Hanigan W.C., Asner N.G., Elwood P.W. Magnetic resonance imaging and the nonoperative treatment of spinal epidural abscess. Surg Neurol 1990; 34: 408-413.Hanigan W.C., Asner N.G., Elwood P.W. Magnetic resonance imaging and the nonoperative treatment of spinal epidural abscess. Surg Neurol 1990; 34: 408-413.Khanna R.K., Malik G.M., Rock J.P., Rosenblum M.L. Spinal epidural abscess: evaluation of factors influencing outcome. Neurosurgery 1996; 39: 958-964.Khanna R.K., Malik G.M., Rock J.P., Rosenblum M.L. Spinal epidural abscess: evaluation of factors influencing outcome. Neurosurgery 1996; 39: 958-964.Cunningham R., Cockayne A., Humphreys H. Clinical and molecular aspects of the pathogenesis of Staphylococcus aureus bone and joint infections. J Med Microbiol 1996; 44: 157-164.Cunningham R., Cockayne A., Humphreys H. Clinical and molecular aspects of the pathogenesis of Staphylococcus aureus bone and joint infections. J Med Microbiol 1996; 44: 157-164.Nair S.P., Meghji S., Wilson M., Reddi K., White P., Henderson B. Bacterially induced bone destruction: mechanisms and misconceptions. Infect Immune 1996; 64: 2371-2380.Nair S.P., Meghji S., Wilson M., Reddi K., White P., Henderson B. Bacterially induced bone destruction: mechanisms and misconceptions. Infect Immune 1996; 64: 2371-2380.

The authors declare that there are no conflicts of interest present.