A Case of Pyogenic Vertebral Osteomyelitis Caused by <I>Haemophilus aphrophilus</I>
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- NAGOYA Hiroshi
- Department of Clinical Laboratory, Tsubame Rosai Hospital
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- HIGUCHI Motoya
- Department of Clinical Laboratory, Tsubame Rosai Hospital
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- YAMAZAKI Yukio
- Department of Orthopedic Surgery, Tsubame Rosai Hospital
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- ENOMOTO Satoru
- Department of Internal Medicine, Tsubame Rosai Hospital
Bibliographic Information
- Other Title
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- <I>Haemophilus aphrophilus</I>による化膿性脊椎炎の1例
- A Case of Pyogenic Vertebral Osteomyelitis Caused by Haemophilus aphrophilus
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Abstract
On Aug. 3, 1999, a 73-year-old male was admitted to our hospital with the chief complaint of pain in the neck, high fever, and numbness in the arm. MRI of the cervix showed high intensity at the C3/C4 disc space. Laboratory data showed several signs of inflammation. Haemophilus aphrophilus was detected from the specimen of the disc space, and the diagnosis of pyogenic vertebral osteomyelitis caused by H. aphrophilus was made.<BR>After the identification of H. aphrophilus, antibiotic therapy with Cefotiam (2g/day) was given but his vertebral collapsed. Surgical treatment consisted of curettage and anterior spinal body fusion using the iliac bone, was performed on his 23rd hospital day, successfully. The antibiotic therapy of Cefazolin (2g/day) was continued for the first 3 days, followed by Cefotiam (2g/day) and later Levofloxacin (300mg/day). The patient was discharged on the 88th hospital day.<BR>The origin of infecting H. aphrophilus in this patient was not clear, but oral source was suspected.<BR>We reported the first case of pyogenic vertebral osteomyelitis caused by H. aphrophilus in Japan.
Journal
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- Kansenshogaku Zasshi
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Kansenshogaku Zasshi 74 (12), 1081-1087, 2000
The Japanese Association for Infectious Diseases
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Details 詳細情報について
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- CRID
- 1390282680026855808
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- NII Article ID
- 130004330842
- 10008713896
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- NII Book ID
- AN00047715
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- ISSN
- 1884569X
- 03875911
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- PubMed
- 11193560
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- Data Source
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed