Burkholderia pickettii spondylitis

• Sudo, Hideki

• Hisada, Y.

• Ito, M.

• Kotaki, H.

• Minami, A.

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.

収録刊行物

• Spinal Cord

  Spinal Cord 43 (8), 499-502, 2005-08

  Nature Publishing Group

キーワード

• Burkholderia pickettii
• spondylitis

詳細情報

• CRID: 1050845763909285248
• NII論文ID: 120000954355
• HANDLE: 2115/14600
• ISSN: 13624393
• 本文言語コード: en
• 資料種別: journal article
• データソース種別:
  • IRDB
  • CiNii Articles