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Parvimonas Micra가 일으킨 화농성 척추염 1예

A Case of Infectious Spondylodiscitis due to Parvimonas Micra

  • 강유민 (서울대학교 의과대학 내과학교실) ;
  • 김가연 (서울대학교 의과대학 내과학교실) ;
  • 정영희 (서울대학교 의과대학 내과학교실) ;
  • 김치헌 (서울대학교 의과대학 신경외과학교실) ;
  • 김의종 (서울대학교 의과대학 진단검사의학과교실) ;
  • 김남중 (서울대학교 의과대학 내과학교실) ;
  • 오명돈 (서울대학교 의과대학 내과학교실)
  • Kang, Yu-Min (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kim, Ga-Yeon (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Jung, Young-Hee (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kim, Chi-Heon (Department of Neurosurgery, Seoul National University College of Medicine) ;
  • Kim, Eui-Chong (Department of Laboratory Medicine, Seoul National University College of Medicine) ;
  • Kim, Nam-Joong (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Oh, Myoung-Don (Department of Internal Medicine, Seoul National University College of Medicine)
  • 발행 : 2012.05.01

초록

저자들은 이전에 국내에서 보고된 바 없었던 Parvimonas micra가 일으킨 화농성 척추염 환자 1예를 문헌고찰과 함께 보고하는 바이다.

Parvimonas micra is frequently associated with periodontal disease as well as respiratory, gastrointestinal, and female genitourinary tract infections, but only rarely has it been reported as a pathogenic agent of infectious spondylodiscitis. We describe the case of a 38-year-old woman with spondylodiscitis caused by P. micra. P. micra was cultured from the patient's blood and vertebral tissue. This case was treated with vertebral corpectomy followed by intravenous ampicillin-sulbactam for four weeks. Her symptoms and vital signs improved, and elevated inflammatory markers were normalized after treatment.

키워드

참고문헌

  1. Tindall BJ, Euzeby JP. Proposal of Parvimonas gen. nov. and Quatrionicoccus gen. nov. as replacements for the illegitimate, prokaryotic, generic names Micromonas Murdoch and Shah 2000 and Quadricoccus Maszenan et al. 2002, respectively. Int J Syst Evol Microbiol 2006;56(Pt 11):2711-2713. https://doi.org/10.1099/ijs.0.64338-0
  2. Murdoch DA, Shah HN. Reclassification of Peptostreptococcus magnus (Prevot 1933) Holdeman and Moore 1972 as Finegoldia magna comb. nov. and Peptostreptococcus micros (Prevot 1933) Smith 1957 as Micromonas micros comb. nov. Anaerobe 1999;5:555-559. https://doi.org/10.1006/anae.1999.0197
  3. Murray PR, Baron EJ, et al. Manual of Clinical Microbiology. 9th ed, Washington, DC: ASM Press, 2007:862-871.
  4. Chung HY, Sung H, Lee MY, et al. A case of bacteremia by Atopobium rimae in a patient with liver cirrhosis. Korean J Lab Med 2007;27:351-354. https://doi.org/10.3343/kjlm.2007.27.5.351
  5. Kwon O, Uh Y, Jang IH, et al. A case of brain abscess due to Parvimonas micra. Korean J Clin Microbiol 2009;12:129-132. https://doi.org/10.5145/KJCM.2009.12.3.129
  6. Leder KS, Barlam TF. A case of paraspinal abscess and diskitis due to Peptostreptococcus micros. Clin Infect Dis 2000;30:622-623. https://doi.org/10.1086/313735
  7. Papasian CJ, McGregor DH, Hodges GR, Kennedy J. Peptostreptococcal vertebral osteomyelitis. J Clin Microbiol 1986; 24:633-635.
  8. Colmenero JD, Jimenez-Mejias ME, Sanchez-Lora FJ, et al. Pyogenic, tuberculous, and brucellar vertebral osteomyelitis: a descriptive and comparative study of 219 cases. Ann Rheum Dis 1997;56:709-715. https://doi.org/10.1136/ard.56.12.709
  9. Kim CJ, Song KH, Jeon JH, et al. A comparative study of pyogenic and tuberculous spondylodiscitis. Spine 2010;35: E1096-E1100. https://doi.org/10.1097/BRS.0b013e3181e04dd3
  10. Noordeen MH, Godfrey LW. Case report of an unusual cause of low back pain: intervertebral diskitis caused by Eikenella corrodens. Clin Orthop Relat Res 1992:175-178.
  11. Bok CW, Ng YS. Eggerthella lenta as a cause of anaerobic spondylodiscitis. Singapore Med J 2009;50:e393-e396.
  12. Schober W, Horger M, Niehues D, Claussen CD, Duda SH. One case of gram-negative anaerobic spondylodiscitis with Prevotella intermedia. Arch Orthop Trauma Surg 2003;123:436-438. https://doi.org/10.1007/s00402-003-0567-z
  13. Wang TD, Chen YC, Huang PJ. Recurrent vertebral osteomyelitis and psoas abscess caused by Streptococcus constellatus and Fusobacterium nucleatum in a patient with atrial septal defect and an occult dental infection. Scand J Infect Dis 1996;28:309-310. https://doi.org/10.3109/00365549609027179
  14. Park Y, Choi JY, Yong D, Lee K, Kim JM. Clinical features and prognostic factors of anaerobic infections: a 7-year retrospective study. Korean J Intern Med 2009;24:13-18. https://doi.org/10.3904/kjim.2009.24.1.13
  15. Saeed MU, Mariani P, Martin C, et al. Anaerobic spondylodiscitis: case series and systematic review. South Med J 2005;98:144-148. https://doi.org/10.1097/01.SMJ.0000129928.03804.2A
  16. Rousseau MC, Harle JR. Spondylitis caused by Peptostreptococcus. Clin Rheumatol 1998;17:538-539. https://doi.org/10.1007/BF01451296
  17. Bowker KE, Wootton M, Holt HA, Reeves DS, MacGowan AP. The in-vitro activity of trovafloxacin and nine other antimicrobials against 413 anaerobic bacteria. J Antimicrob Chemother 1996;38:271-281. https://doi.org/10.1093/jac/38.2.271
  18. Sheikh W, Pitkin DH, Nadler H. Antibacterial activity of meropenem and selected comparative agents against anaerobic bacteria at seven North American centers. Clin Infect Dis 1993;16(Suppl 4):S361-S366. https://doi.org/10.1093/clinids/16.Supplement_4.S361
  19. Wren MW. Anaerobic cocci of clinical importance. Br J Biomed Sci 1996;53:294-301. Erratum in: Br J Biome Sci 1997;54:154.
  20. Lee Y, Park Y, Kim MS. Antimicrobial susceptibility patterns for recent clinical isolates of anaerobic bacteria in South Korea. Antimicrob Agents Chemother 2010;54:3993-3997. https://doi.org/10.1128/AAC.00481-10
  21. Veloo ACM, Welling GW, Degener JE. Antimicrobial susceptibility of clinically relevant Gram-positive anaerobic cocci collected over a three-year period in the Netherlands. Antimicrob Agents Chemother 2011;55:1199-1203. https://doi.org/10.1128/AAC.01771-09

피인용 문헌

  1. 일부 농촌지역 노인의 일반 특성 및 구강상태와 치주염유발세균의 관련성 vol.20, pp.5, 2012, https://doi.org/10.13065/jksdh.20200068