The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Vertebral Osteomyelitis with Bacteremia and Psoas Abscess Caused by Non-typeable Haemophilus influenzae

균혈증을 동반한 비피막형 Haemophilus influenzae에 의한 요추 척추염 1예

  • Kim, Taeeun (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Hong, Sun In (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Yun, Ji Hyun (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, So-Young (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Woo, Chang Yun (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Sung, Heungsup (Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Choi, Sang-Ho (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 김태은 (울산대학교 의과대학 서울아산병원 내과) ;
  • 홍선인 (울산대학교 의과대학 서울아산병원 내과) ;
  • 윤지현 (울산대학교 의과대학 서울아산병원 내과) ;
  • 박소영 (울산대학교 의과대학 서울아산병원 내과) ;
  • 우창윤 (울산대학교 의과대학 서울아산병원 내과) ;
  • 성흥섭 (울산대학교 의과대학 서울아산병원 진단검사의학과) ;
  • 최상호 (울산대학교 의과대학 서울아산병원 내과)
  • Received : 2014.03.26
  • Accepted : 2014.05.01
  • Published : 2014.11.01
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Abstract

Vertebral osteomyelitis is primarily seen in middle-aged individuals, with a mean age of presentation of ~60 years. Recent trends suggest an increase in the incidence of vertebral osteomyelitis due to longer life expectancy of patients with chronic debilitating diseases. Haemophilus influenzae is a small, fastidious, gram-negative bacillus, which is known to cause infections in young children. While invasive H. influenzae infections have become increasingly common in adult populations, bone infections caused by this organism remain extremely rare. The existing medical literature includes only 11 reports of vertebral osteomyelitis caused by H. influenzae since 1978, with no reports of H. influenzae-associated vertebral osteomyelitis observed in Korea. Here, we present the case of a 72-year old patient with hematogenous vertebral osteomyelitis and psoas abscess caused by non-typeable H. influenzae.

세균성 척추 골수염은 척추체와 추간판을 침범하는 세균감염에 의해 발생하며, 50대 이상의 연령군에서 주로 발생한다. 다양한 균이 척추 골수염을 일으킬 수 있는데, 그 중 H. influenzae에 의한 감염은 드물다. 본 증례에서는 기저 질환이 없었던 사람에서 급성 요통과 함께 영상 검사에서 요추의 골수염 소견이 확인되었고, 혈액 배양 검사에서 비피막형 H. influenzae가 분리되어 이에 의한 척추 골수염으로 진단할 수 있었다. 감수성 있는 항생제 치료로 호전되었으며, 비피막형 H. influenzae에 의한 척추 골수염에 대한 국내 보고가 없었기에 본 증례를 통해서 보고한다.

Keywords

References

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