高齢糖尿病患者に発症し急性の経過を呈した <i>Streptococcus dysgalactiae </i>subsp. <i>equisimilis </i>による敗血症性化膿性脊椎炎の 1 例
書誌事項
- タイトル別名
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- A Case of Acute Septic Osteomyelitis Onset due to <i>Streptococcus dysgalactiae </i>subsp. <i>equisimilis </i>in an Elderly Diabetic Patient
- 症例 高齢糖尿病患者に発症し急性の経過を呈したStreptococcus dysgalactiae subsp. equisimilisによる敗血症性化膿性脊椎炎の1例
- ショウレイ コウレイ トウニョウビョウ カンジャ ニ ハッショウ シ キュウセイ ノ ケイカ オ テイシタ Streptococcus dysgalactiae subsp equisimilis ニ ヨル ハイケツショウセイ カノウセイ セキツイエン ノ 1レイ
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Group C streptococci are increasingly causing invasive infections such as that we report here. A 70-year-old man being treated for diabetes and seen at the emergency room for neck pain and fever was hospitalized for possible sepsis. His temperature was 39.8℃, regular pulse 101bpm, and pain reinforced in flexing and cervical rotation. Streptococcus dysgalactiae subsp. equisimilis (SDSE) was cultured from blood. Neck pain gradually decreased with of 2 million units PCG 6 times/day. Magnetic resonance imaging (MRI) of the cervical spine showed high-intensity areas in fat-suppression imaging at C7, Th1 and intervertebral disks plus enhancement around the vertebral body, yielding a diagnosis of cervicothoracic vertebral osteomyelitis. Antimicrobial intravenous therapy continued 6 weeks. The man was discharged after 45 days without relapse.
収録刊行物
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- 感染症学雑誌
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感染症学雑誌 85 (5), 508-511, 2011
一般社団法人 日本感染症学会
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詳細情報 詳細情報について
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- CRID
- 1390282680026133504
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- NII論文ID
- 10030236170
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- NII書誌ID
- AN00047715
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- ISSN
- 1884569X
- 03875911
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- NDL書誌ID
- 11263338
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- 使用不可