Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Pyogenic Spondylitis Caused by Staphylococcus schleiferi in a Patient with Crohn's Disease
Koji FujimotoShuhei HosomiRieko NakataNaoko SugitaYu NishidaShusei FukunagaYuji NadataniKoji OtaniFumio TanakaNoriko KamataYasuaki NagamiKoichi TairaToshio WatanabeYasuhiro Fujiwara
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JOURNAL OPEN ACCESS Advance online publication

Article ID: 7368-21

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Abstract

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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© 2021 by The Japanese Society of Internal Medicine
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