https://scholars.lib.ntu.edu.tw/handle/123456789/511273
標題: | Salmonella spondylitis in non-sickle cell patients | 作者: | Chen P.O.-Q. SHU-HUA YANG Yen C.-C. Chen W.-J. TIFFANY TING-FANG SHIH |
公開日期: | 2001 | 卷: | 5 | 期: | 4 | 起(迄)頁: | 253-260 | 來源出版物: | Journal of Musculoskeletal Research | 摘要: | This article was a retrospective study of Salmonella spondylitis in seven non-sickle cell anemic patients. The objective of this study was to clarify the clinical manifestations of spinal infection by Salmonella, and to select the proper method of treatment. Comparison with the reported 25 cases in the literature was also attempted. The clinical symptoms and signs, laboratory data, bony images, treatment modalities and outcomes were documented, and compared with the 25 cases in the English literatures. The patients all suffered from insidious onset of low back pain, with progressive increasing intensity. Leucocytosis (> 9000) and body temperature elevation (> 37°C) were noted in four cases. Positive cultures were mainly obtained from blood (5 cases) and surgical specimens (one case) before treatment. One patient also had positive culture in the stool and urine. Six patients underwent surgical debridement of the infected foci, while one patient received antibiotic treatment only. The outcome was good in the uncomplicated cases. One patient with concurrent aortic aneurysm died of sepsis. We stress that Salmonella infection can be found in the apparently healthy persons. In the endemic region, high suspicion is needed. Surgical debridement, bone grafting and two months of antibiotic treatment are recommended. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/511273 | ISSN: | 0218-9577 | DOI: | 10.1142/S0218957701000593 | SDG/關鍵字: | amoxicillin; antibiotic agent; ceftriaxone; chloramphenicol; ciprofloxacin; metronidazole; adult; anemia; aorta aneurysm; article; bacterium culture; blood analysis; bone radiography; clinical article; clinical feature; comparative study; death; debridement; disease course; feces analysis; female; fever; human; laboratory test; leukocytosis; low back pain; male; outcomes research; retrospective study; Salmonella; salmonellosis; sepsis; sickle cell anemia; spine disease; spondylitis; symptom; urinalysis |
顯示於: | 醫學院附設醫院 (臺大醫院) |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。