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Case Report
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Korean J Med. 2015;88(4):475-479. Published online April 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.4.475
- 진균과 세균 복합 감염의 척추체-추간판염 1예
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조미옥1, 송영구1, 이서희1, 조세희1, 최아란1, 은나래2, 진성준1
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1연세대학교 의과대학 강남세브란스병원 내과
2연세대학교 의과대학 강남세브란스병원 영상의학과
- A Case of Polymicrobial Fungal and Bacterial Spondylodiscitis
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Mi Ok Cho1, Young Goo Song1, Seo Hui Lee1, Se Hee Jo1, Ah Ran Choi1, Na Lae Eun2, Sung Joon Jin1
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1Departments of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
2Departments of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- Corresponding author: Young Goo Song ,Tel: +82-2-2019-3319, Fax: +82-2-3463-3882, Email: imfell@yuhs.ac
- Received: April 2, 2014; Revised: May 16, 2014 Accepted: July 21, 2014.
- 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.
߽ɾ :척추체-추간판염; 복합 감염; Candida parapsilosis; Enterococcus faecium
- Abstract
- 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.
Keywords :Spondylodiscitis, Polymicrobial infection, Candida parapsilosis, Enterococcus faecium
