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Burkholderia pickettii spondylitis

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タイトル: Burkholderia pickettii spondylitis
著者: Sudo, Hideki 著作を一覧する
Hisada, Y. 著作を一覧する
Ito, M. 著作を一覧する
Kotaki, H. 著作を一覧する
Minami, A. 著作を一覧する
キーワード: Burkholderia pickettii
spondylitis
発行日: 2005年 8月
出版者: Nature Publishing Group
誌名: Spinal Cord
巻: 43
号: 8
開始ページ: 499
終了ページ: 502
出版社 DOI: 10.1038/sj.sc.3101740
抄録: Methods: A 48-year-old woman presented with a complaint of severe back pain radiating from the right side of her chest. Plain radiographs of the spine showed osteolytic destruction of the right side of the T10 vertebral body at T10 level, with an involvement of the pedicle. Magnetic resonance image of the spine showed a low signal intensity from the T10 vertebral body on a Tl-weighted image and an increased signal intensity on T2-weighted sequence image. These lesions were enhanced when a contrast medium was used. The patient underwent open biopsy and specimens were collected through the right pedicle. Results: Diagnosis was established on the basis of direct identification of the microorganism. Histological findings were consistent with examination of B. pickettii spondylitis. Chemotherapy (intravenous cefepime and per os minocycline) resulted in complete cure. Conclusion: B. pickettii is widely distributed in aqueous sources in nature and has not previously been considered to be an aggressive pathogen towards humans. This case report will help to improve our understanding of the ecology and virulent pathogenicity of this organism. A biopsy is an essential and reliable method for the early etiologic diagnosis, which will lead to prevent the development of more severe complications such as spinal cord compression.
Rights: Nature Publishing Group, Spinal Cord, vol. 43, 2005, 499-502
Relation (URI): http://npg.nature.com/npg/servlet/Content?data=xml/02_welcome.xml&style=xml/02_welcome.xsl
資料タイプ: article
URI: http://hdl.handle.net/2115/14600
出現コレクション:雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

提供者: 須藤 英毅

 

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