A Case of Vertebral Osteomyelitis with Bacteremia and Psoas Abscess Caused by
Non-typeable <i>Haemophilus influenzae</i>

Kim, Taeeun; Hong, Sun In; Yun, Ji Hyun; Park, So-Young; Woo, Chang Yun; Sung, Heungsup; Choi, Sang-Ho

doi:2014.87.5.636

Korean J Med > Volume 87(5); 2014 > Article

Case Report

The Korean Journal of Medicine 2014;87(5):636-641.
Published online November 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.5.636

A Case of Vertebral Osteomyelitis with Bacteremia and Psoas Abscess Caused by Non-typeable Haemophilus influenzae

Taeeun Kim¹, Sun In Hong¹, Ji Hyun Yun¹, So-Young Park¹, Chang Yun Woo¹, Heungsup Sung², Sang-Ho Choi¹

¹Departments of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
²Departments of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

균혈증을 동반한 비피막형 Haemophilus influenzae에 의한 요추 척추염 1예

김태은¹, 홍선인¹, 윤지현¹, 박소영¹, 우창윤¹, 성흥섭², 최상호¹

^¹울산대학교 의과대학 서울아산병원 내과
^²울산대학교 의과대학 서울아산병원 진단검사의학과

Correspondence:
Sang-Ho Choi, Tel: +82-2-3010-3304, Fax: +82-2-3010-6970, Email: sangho@amc.seoul.kr

Received: 26 March 2014 • Revised: 24 April 2014 • Accepted: 1 May 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial License (http://creativecommons.org/licenses/bync/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Key Words: Haemophilus; Osteomyelitis; Bacteremia; Psoas abscess

주제어: 헤모필루스; 골수염; 세균혈증; 요근 농양; 척추염