학술논문
진균과 세균 복합 감염의 척추체-추간판염
Infectious disease A Case of Polymicrobial Fungal and Bacterial Spondylodiscitis
Infectious disease A Case of Polymicrobial Fungal and Bacterial Spondylodiscitis
Document Type
Article
Author
조미옥 / Mi Ok Cho; 송영구 / Young Goo Song; 이서희 / Seo Hui Lee; 조세희 / Se Hee Jo; 최아란 / Ah Ran Choi; 은나래 / Na Lae Eun; 진성준 / Sung Joon Jin
Source
대한내과학회지 (Korean J Med) / The Korean Journal of Medicine (Korean J Med). Apr 30, 2015 88(4):475
Subject
Language
Korean
ISSN
1738-9364
Abstract
내원 3개월 전 척추 수술을 시행 받았던 66세 여자 환자가 요통 및 하지 동통으로 내원하였다. Magnetic resonance image상 척추체-추간판염 소견이 보였으며 조직 검사를 통한 세균 배양 검사에서 Enterococcus faecium과 Candida parapsilosis가 동정되어 진균과 세균의 복합 감염으로 확인되었다. 저자는 적극적인 조직 배양 검사를 통해 진균과 세균의 복합 감염을 정확히 진단함으로써 이에 따른 적절한 치료를 시행하여 문헌고찰과 함께 보고하는 바이다. 또한 본 사례를 통해 진단율을 높이는 적극적인 조직 검사를 독려하고자 한다.
A 66-year-old female who had undergone surgery for a herniated disc at the L5-S1 level at another hospital 3 months earlier was admitted with persistent back and leg pain. She was diagnosed with spondylodiscitis at the L5-S1 level by magnetic resonance imaging. A biopsy was performed, and Candida parapsilosis and Enterococcus faecium were isolated from the excised material. We report herein a case of successful treatment of polymicrobial spondylodiscitis in accordance with accurate microbiological diagnosis. Based on this case, we hope to encourage physicians to perform biopsies more aggressively or repeatedly to improve the diagnostic yield.
A 66-year-old female who had undergone surgery for a herniated disc at the L5-S1 level at another hospital 3 months earlier was admitted with persistent back and leg pain. She was diagnosed with spondylodiscitis at the L5-S1 level by magnetic resonance imaging. A biopsy was performed, and Candida parapsilosis and Enterococcus faecium were isolated from the excised material. We report herein a case of successful treatment of polymicrobial spondylodiscitis in accordance with accurate microbiological diagnosis. Based on this case, we hope to encourage physicians to perform biopsies more aggressively or repeatedly to improve the diagnostic yield.