Pyogenic Spondylitis Caused by Staphylococcus schleiferi in a Patient with Crohn's Disease

Staphylococcus schleiferi has rarely been reported to cause pyogenic spondylitis. A 42-year-old man had been treated for Crohn's disease with immunosuppressive agents and home parenteral nutrition via a central vein (CV) port. The patient was admitted to our hospital, presenting with neck pain...

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Detalles Bibliográficos
Autores principales: Fujimoto, Koji, Hosomi, Shuhei, Nakata, Rieko, Sugita, Naoko, Nishida, Yu, Fukunaga, Shusei, Nadatani, Yuji, Otani, Koji, Tanaka, Fumio, Kamata, Noriko, Nagami, Yasuaki, Taira, Koichi, Watanabe, Toshio, Fujiwara, Yasuhiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8907770/
https://www.ncbi.nlm.nih.gov/pubmed/34393163
http://dx.doi.org/10.2169/internalmedicine.7368-21
Descripción
Sumario:Staphylococcus schleiferi has rarely been reported to cause pyogenic spondylitis. A 42-year-old man had been treated for Crohn's disease with immunosuppressive agents and home parenteral nutrition via a central vein (CV) port. The patient was admitted to our hospital, presenting with neck pain and a fever. A neurological examination showed slight weakness in his left-hand muscles, and he was diagnosed with pyogenic spondylitis of C6 and C7 vertebral bodies due to catheter-related blood stream infection caused by S. schleiferi. An early diagnosis by magnetic resonance imaging, CV port removal and antibiotic therapy targeting S. schleiferi improved his symptoms.

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