비전형적인 요통과 아급성 신부전으로 발현한 살모넬라요근 농양 1예
A Case of Salmonella Psoas Abscess Presenting as Low Back Pain and Subacute Renal Failure
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초록
저자들은 복부 대동맥류 파열 병력이 있는 환자에서 Salmonella group D로 인한 요근 농양 및 아급성 신부전증이 발생하여 신대체 요법을 시행하게 된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Salmonella is a rare cause of psoas abscess and infectious spondylitis. We report a case of a 62-year-old male patient with Salmonella group D psoas abscess and infectious spondylitis as low back pain and subacute renal failure. The patient who had a previous operation history of abdominal aortic aneurysm rupture was admitted to evaluate low back pain and abnormal renal function. Bilateral psoas abscess and infectious spondylitis of lumbar vertebrae was detected by spine MRI and Salmonella group D was isolated in aspirated fluid of psoas abscess. After long term antibiotics treatment (ceftriazxone and ciprofloxacin), psoas abscess and spondylitis was markedly improved, however, his renal function was not recovered to progress to end stage renal disease. (Korean J Med 2011;81:657-662)
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