aorto-rt. femoro-popliteal bypass術後に発生した化膿性脊椎炎の1例

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  • A CASE OF PYOGENIC SPONDYLITIS OCCURRING AORTO-RIGHT FEMORO POPLITEAL BYPASS

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A 69-year-old man underwent an aorto-right femoro-popliteal bypass operation for complete occulusion of the right common iliac artery. From the eighth to 16th postoperative day the patient ran a high fever over 38°C and an increase in inflammation reaction was confirmed. Various examinations were performed under a suspecion of postoperative infection, but the origin was unknown. On the 47th postoperative day and after he complained of lumber pain and was almost unable to take sitting posture or to move. With magnetic resonance imaging, bone scintigraphy and Ga-scintigraphy, pyogenic spondylitis was suspected. The patient was transferred to the department of orghopedics in our hospital. Surgicaltreatment was thought as a probable selection, but a long-term conservative therapy was employed, with a succssful outcome. The patient was discharged from the hospital.

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