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A case of Klebsiella pneumoniae spondylitis and bacteremia potentially due to inflammation around a fecalith.
- Source :
-
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy [J Infect Chemother] 2019 Jun; Vol. 25 (6), pp. 470-472. Date of Electronic Publication: 2019 Feb 14. - Publication Year :
- 2019
-
Abstract
- We herein report a case of Klebsiella pneumoniae (K. pneumoniae) spondylitis and bacteremia in a 90-year-old man with diabetes mellitus who had undergone sigmoidectomy and had a fecalith. Two months prior to admission, he had received antimicrobial treatment for 2 weeks for K. pneumoniae bacteremia whose entry was unclear and he was readmitted to our hospital owing to fever and stomachache. K. pneumoniae was isolated from two sets of blood cultures, and computed tomography and magnetic resonance imaging revealed inflammation and destruction of the 8th and 9th thoracic vertebra. The diagnosis was spondylodiscitis secondary to K. pneumoniae bacteremia. Although the entry point for K. pneumoniae was unclear, we suggest that inflammation of the mucosa around the fecalith might have caused the Enterobacteriaceae bacteremia.<br /> (Copyright © 2019 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.)
- Subjects :
- Aged, 80 and over
Anti-Bacterial Agents therapeutic use
Colitis complications
Colon diagnostic imaging
Colon microbiology
Discitis diagnostic imaging
Fecal Impaction complications
Humans
Klebsiella Infections diagnostic imaging
Magnetic Resonance Imaging
Male
Thoracic Vertebrae diagnostic imaging
Thoracic Vertebrae microbiology
Tomography, X-Ray Computed
Treatment Outcome
Bacteremia microbiology
Colitis microbiology
Discitis microbiology
Fecal Impaction microbiology
Klebsiella Infections microbiology
Klebsiella pneumoniae isolation & purification
Subjects
Details
- Language :
- English
- ISSN :
- 1437-7780
- Volume :
- 25
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy
- Publication Type :
- Academic Journal
- Accession number :
- 30773382
- Full Text :
- https://doi.org/10.1016/j.jiac.2019.01.001