다발성 척추를 침범한 브루셀라 척추염 1예
A Case of Brucellar Spondylitis with Multiple Spine Involvement
1
조회
0
다운로드
1
인용
0
참고문헌
초록
저자들은 C-형간염 환자의 발열에 대한 검사 진행에서 혈액 배양검사와 자기공명영상 검사를 통하여 다발성 척추에 발생한 브루셀라 척추염을 진단하였고 ciprofloxacin, doxycycline, streptomycin 3제요법으로 합병증 및 재발 없이 치료하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Brucellosis, a zoonosis with world wide distribution, is a systemic infection that affects several organs and has protean presentation. Although spondylitis is universally the most common complication of brucellosis and difficult to treat, there is no consensus on the preferred combination of antibiotics use. The authors report a case of a 58-year-old male patient with brucellar spondylitis involving several vertebrae. Diagnosis was made by positive blood culture and magnetic resonance imaging. The authors use a combination method of doxycycline, ciprofloxacin and streptomycin for a period of 3 months. The systemic symptoms were improved after treatment.
참고문헌 (13)
- Lim HS, "Brucellosis", 47, pp.1048~1055 (2005)
- Corbel MJ, "Brucellosis-an overview", 3, pp.213~221 (1997)
- Doganay M, "Human brucellosis^an overview", 7, pp.173~178 (2003)
- Pappas G, "Brucellosis", 352, pp.2325~2336 (2005)
- Yang SY, "Brucellar spondylodiscitis: case report and literature review", 35, pp.332~335 (2004)
- Korea Center for Disease Control and Prevention, "Incidence of human brucellosis in Korea, 2002- 2004", 16, pp.28~29 (2005)
- Mousa AM, "Neurological complication of brucella spondylitis", pp.16~23 (1990)
- Khateeb MI, "a study of 96 cases in Kuwait", pp.994~8 (1990), Brucella arthritis
- Solera J, "Brucellar spondylitis: review of 35 cases and literature survey", 29, pp.1440~1449 (1999)
- Memish Z, "Brucella bacteremia: clinical and laboratory observations in 160 patients", 40, pp.59~63 (2000)
- Colmenero JD, "Complications associated with Brucella melitensis infection? a study of 530 cases", 75?, pp.195~211 (1996)
- Ariza J, "Treatment of human brucellosis with doxycycline plus rifampin or doxycycline plus streptomycin?", pp.25~30 (1992)
- Pappas G, "Treatment of brucella spondylitis: lessons from an impossible meta-analysis and initial report of efficacy of a fluoroquinolone containing regimen", 24, pp.502~507 (2004)
