Recurrent pyogenic vertebral osteomyelitis associated with type 2 diabetes mellitus
| Autor: | Masashi Arai, Shigeru Okuno, Tomio Ohno, Yoshio Ohyama, Masahiko Kurabayashi, Zen Isobe, Tsuyoshi Uchiyama, Akihisa Miyazaki, Shouichi Tomono, Hiromaro Ito, Toshihiro Utsugi |
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| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Bone disease 030209 endocrinology & metabolism 030204 cardiovascular system & hematology Biochemistry 03 medical and health sciences 0302 clinical medicine Recurrence Diabetes mellitus medicine Vertebral osteomyelitis Humans Fatigue Antibacterial agent medicine.diagnostic_test business.industry Biochemistry (medical) Type 2 Diabetes Mellitus Magnetic resonance imaging Osteomyelitis Cell Biology General Medicine Middle Aged Staphylococcal Infections medicine.disease Magnetic Resonance Imaging Diabetic Foot Surgery Treatment Outcome Diabetes Mellitus Type 2 Echocardiography Spinal Diseases Osteitis business Complication Low Back Pain |
| Zdroj: | The Journal of international medical research. 29(5) |
| ISSN: | 0300-0605 |
| Popis: | We report a case of recurrent pyogenic vertebral osteomyelitis associated with type 2 diabetes mellitus. A 51-year-old male was admitted to our hospital because of lumbago and general fatigue, with multiple ulcers on the soles of his feet. Staphylococcus aureus was isolated from peripheral blood and the foot ulcers, and 67Gallium scintigram showed abnormal isotope uptake, accumulated at the lower thoracic spine. Antibiotics were administered and the patient underwent intensive insulin therapy. Magnetic resonance imaging (MRI), performed after the levels of C-reactive protein decreased to 0.0 mg/dl, indicated old inflammatory changes at the Th8–Th9 spine and antibiotics were stopped. Unexpectedly, 8 days later the patient complained of lumbago with fever again, and MRI showed acute inflammatory changes at the same lesion site. This case report suggests that it is important for complementary antibiotic therapy to continue after signs of inflammation have disappeared in cases of pyogenic vertebral osteomyelitis. |
| Databáze: | OpenAIRE |
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