<i>Helicobacter cinaedi-</i>associated Vertebral Osteomyelitis in an Immunocompetent Patient
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- Murata Satoshi
- Department of General Internal Medicine, Josai Hospital, Japan
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- Suzuki Hiromichi
- Division of Infectious Diseases, Department of Medicine, Tsukuba Medical Center Hospital, Japan
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- Sakamoto Setsu
- PET Center, Dokkyo University Hospital, Japan
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- Miki Takamitsu
- Department of Orthopedic Surgery, Josai Hospital, Japan
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- Rimbara Emiko
- Department of Bacteriology II, National Institute of Infectious Diseases, Japan
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- Shibayama Keigo
- Department of Bacteriology II, National Institute of Infectious Diseases, Japan
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- Koyama Shinobu
- Miroku Medical Laboratory Inc., Japan
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- Tamai Kiyoko
- Miroku Medical Laboratory Inc., Japan
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- Yaguchi Yuji
- Miroku Medical Laboratory Inc., Japan
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- Tada Masaki
- Department of Gynecology, Josai Hospital, Japan
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抄録
A 56-year-old previously healthy man was hospitalized due to a 10-day history of neck pain and an elevated C-reactive protein level. Gram-negative spiral bacilli were isolated from his blood, and Helicobacter cinaedi was confirmed using 16S rRNA sequencing. The infectious focus was not identified by initial cervical magnetic resonance imaging (MRI); however, repeated MRI demonstrated prominent high signal intensity in the entire region of the C6-C7 vertebrae and C6/C7 disc space. Furthermore, fluorodeoxyglucose-positron emission tomography/computed tomography showed no significant uptake, other than in the C6-C7 region. The patient was successfully treated with ceftriaxone for six weeks without sequelae.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 54 (24), 3221-3224, 2015
一般社団法人 日本内科学会