Pneumococcal Vertebral Osteomyelitis and Psoas Abscess in a Patient with Systemic Lupus Erythematosus Disclosing Positivity of Pneumococcal Urinary Antigen Assay
スポンサーリンク
概要
- 論文の詳細を見る
A 53-year-old woman with systemic lupus erythematosus presented with a 3-day history of fever and coughing. Diagnosis of pneumococcal bronchitis was made based on symptoms and positivity of pneumococcal urinary antigen test. On day 3, severe low back pain acutely occurred. Pneumococcal vertebral osteomyelitis and psoas abscess was diagnosed 17 days later by yield of penicillin-susceptible S. pneumoniae strain in blood cultures and drainage fluid. Although pneumococcal urinary antigen test is a useful tool for the diagnosis of pneumococcal pneumonia, we should consider the possibility of pneumococcal infections other than pneumonia or overwhelming bacteremia in immunosuppressive patients when urinary antigen test is positive.
著者
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Ito Kiyoaki
Division Of Rheumatology Department Of Internal Medicine Graduate School Of Medical Science Kanazawa
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Yamada Kazunori
Division Of Cardiology Shizuoka City Hospital
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Kawano Mitsuhiro
Division Of Rheumatology Department Of Internal Medicine Graduate School Of Medical Science Kanazawa
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Inoue Ryo
Division Of Nephrology And Rheumatology Ishikawa Prefectural Central Hospital
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Yamagishi Masakazu
Division Of Cardiology Department Of Internal Medicine Kanazawa University Graduate School Of Medici
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Kawamura Rika
Division Of Rheumatology Department Of Internal Medicine Kanazawa University Graduate School Of Medi
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Matsumura Masami
Research Center For Medical Education Kanazawa University Graduate School Of Medicine
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Fujii Hiroshi
Division Of Pathophysiological And Experimental Pathology Graduate School Of Medical Sciences Kyushu
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Ito Kiyoaki
Division of Rheumatology, Department of Internal Medicine, Kanazawa University Graduate School of Medicine, Japan
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FUJII Hiroshi
Division of Child Neurology, Institute of Neurological Sciences, Faculty of Medicine, Tottori University
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Kawamura Rika
Division of Rheumatology, Department of Internal Medicine, Kanazawa University Graduate School of Medicine, Japan
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