A Case of Osteomyelitis with a Granulomatous Lesion Caused by <i>Salmonella </i>Infantis
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- MURANAKA Kiyoharu
- Department of Infectious Diseases, Kameda Medical Center
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- TOCHITANI Kentaro
- Department of Infectious Diseases, Kyoto City Hospital
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- HASE Ryota
- Department of Infectious Diseases, Kameda Medical Center
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- OTSUKA Yoshihito
- Department of Laboratory Medicine, Kameda Medical Center
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- HOSOKAWA Naoto
- Department of Infectious Diseases, Kameda Medical Center
Bibliographic Information
- Other Title
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- 肉芽腫病変を呈した<i>Salmonella </i>Infantis 骨髄炎の1 例
- 症例 肉芽腫病変を呈したSalmonella Infantis骨髄炎の1例
- ショウレイ ニクガシュ ビョウヘン オ テイシタ Salmonella Infantis コツズイエン ノ 1レイ
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Abstract
We report herein on a case of osteomyelitis with a granulomatous lesion caused by Salmonella enterica subsp. enterica serovar Infantis (Salmonella Infantis). A 30-year-old Japanese man presenting with a 3-week history of left ankle pain was suspected to have either a tumor or osteomyelitis, on the basis of imaging study findings. He underwent a surgical resection of the lesion. Histopathological examination revealed a granuloma. However, S. Infantis was cultured from the biopsy sample. Cefazolin was initially administered as empirical therapy. We switched the antibiotic to ampicillin on the basis of the anitibiotic-susceptibility test results. Six weeks after intravenous ampicillin therapy, we switched to oral ciprofloxacin. He has had no recurrence in the 3 years after treatment completion. Salmonella osteomyelitis is rare and this pathogen seldom causes a granulomatous lesion. According to the findings in our case, Salmonella spp. should be considered as one of the differential diagnoses for granulomatous lesions in the bone.
Journal
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- Kansenshogaku Zasshi
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Kansenshogaku Zasshi 89 (4), 476-480, 2015
The Japanese Association for Infectious Diseases
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Details 詳細情報について
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- CRID
- 1390282680028342912
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- NII Article ID
- 130005868574
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- NII Book ID
- AN00047715
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- ISSN
- 1884569X
- 03875911
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- NDL BIB ID
- 026637196
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed