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균혈증을 동반한 비피막형 Haemophilus influenzae에 의한 요추 척추염 1예

A Case of Vertebral Osteomyelitis with Bacteremia and Psoas Abscess Caused by Non-typeable Haemophilus influenzae

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초록

Vertebral osteomyelitis is primarily seen in middle-aged individuals, with a mean age of presentation of ~60 years. Recent trendssuggest an increase in the incidence of vertebral osteomyelitis due to longer life expectancy of patients with chronic debilitatingdiseases. Haemophilus influenzae is a small, fastidious, gram-negative bacillus, which is known to cause infections in youngchildren. While invasive H. influenzae infections have become increasingly common in adult populations, bone infections causedby this organism remain extremely rare. The existing medical literature includes only 11 reports of vertebral osteomyelitis causedby H. influenzae since 1978, with no reports of H. influenzae-associated vertebral osteomyelitis observed in Korea. Here, we presentthe case of a 72-year old patient with hematogenous vertebral osteomyelitis and psoas abscess caused by non-typeable H. influenzae.

Abstract

Vertebral osteomyelitis is primarily seen in middle-aged individuals, with a mean age of presentation of ~60 years. Recent trendssuggest an increase in the incidence of vertebral osteomyelitis due to longer life expectancy of patients with chronic debilitatingdiseases. Haemophilus influenzae is a small, fastidious, gram-negative bacillus, which is known to cause infections in youngchildren. While invasive H. influenzae infections have become increasingly common in adult populations, bone infections causedby this organism remain extremely rare. The existing medical literature includes only 11 reports of vertebral osteomyelitis causedby H. influenzae since 1978, with no reports of H. influenzae-associated vertebral osteomyelitis observed in Korea. Here, we presentthe case of a 72-year old patient with hematogenous vertebral osteomyelitis and psoas abscess caused by non-typeable H. influenzae.

참고문헌 (10)

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  9. 김신우, "지역사회획득 폐렴에서의 항생제 내성 및 최신 치료", 대한내과학회지, 81(6), pp.690~698 (2011), 대한내과학회
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