引起脊椎骨髓炎的多重耐药肺炎球菌。
Multidrug-resistant Pneumococcus causing vertebral osteomyelitis.
作者信息
Antony S J
机构信息
El Paso Cancer Treatment Center, Texas Oncology 79915, USA.
出版信息
J Natl Med Assoc. 1997 Sep;89(9):634-5.
Abstract
Primary vertebral osteomyelitis in a rare presentation of pneumococcal infection especially in an asymptomatic patient with no primary focus of infection. This report describes a patient who presented with lower back pain in which the magnetic resonance imaging showed little evidence of L1 and L2 vertebral body destruction. Cultures from these vertebral bodies grew penicillin and third-generation resistant pneumococcus. The patient was treated successfully with 6 weeks of vancomycin and rifampin.
摘要
原发性椎体骨髓炎是肺炎球菌感染的一种罕见表现，尤其是在没有原发性感染灶的无症状患者中。本报告描述了一名出现下背部疼痛的患者，其磁共振成像显示L1和L2椎体破坏迹象不明显。从这些椎体培养出青霉素和第三代耐药肺炎球菌。该患者接受了6周的万古霉素和利福平治疗，治疗成功。
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本文引用的文献
1
Infections due to penicillin-resistant pneumococci. Clinical, epidemiologic, and microbiologic features.耐青霉素肺炎球菌感染。临床、流行病学及微生物学特征。
Arch Intern Med. 1993 Jun 14;153(11):1301-10.
2
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Clin Infect Dis. 1995 Feb;20(2):286-90. doi: 10.1093/clinids/20.2.286.
3
Osteomyelitis: a review of clinical features, therapeutic considerations and unusual aspects.骨髓炎：临床特征、治疗考量及特殊方面的综述
N Engl J Med. 1970 Jan 22;282(4):198-206. doi: 10.1056/NEJM197001222820406.
4
Vertebral osteomyelitis secondary to Streptococcus pneumoniae: a pathophysiologic understanding.肺炎链球菌所致的脊椎骨髓炎：病理生理学认识
Diagn Microbiol Infect Dis. 1986 May;5(1):77-80. doi: 10.1016/0732-8893(86)90094-5.
5
Pneumococcal vertebral osteomyelitis in an adult.
South Med J. 1987 Apr;80(4):534-5. doi: 10.1097/00007611-198704000-00034.
6
Antimicrobial resistance in Streptococcus pneumoniae: an overview.肺炎链球菌中的抗菌药物耐药性：概述
Clin Infect Dis. 1992 Jul;15(1):77-83. doi: 10.1093/clinids/15.1.77.
7
Infections caused by Streptococcus pneumoniae: clinical spectrum, pathogenesis, immunity, and treatment.
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8
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9
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