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Pneumococcal vertebral osteomyelitis and psoas abscess in a patient with systemic lupus erythematosus disclosing positivity of pneumococcal urinary antigen assay

フォーマット:
論文
責任表示:
Matsumura, Masami ; Ito, Kiyoaki ; Kawamura, Rika ; Fujii, Hiroshi ; Inoue, Ryo ; Yamada, Kazunori ; Yamagishi, Masakazu ; Kawano, Mitsuhiro
言語:
英語
出版情報:
The Japanese Society of Internal Medicine = 日本内科学会, 2011-01-01
著者名:
Matsumura, Masami
Ito, Kiyoaki
Kawamura, Rika
Fujii, Hiroshi
Inoue, Ryo
Yamada, Kazunori
Yamagishi, Masakazu
Kawano, Mitsuhiro
続きを見る
掲載情報:
Internal Medicine
ISSN:
0918-2918  CiNii Research  Webcat Plus  JAIRO
巻:
50
通号:
20
開始ページ:
2357
終了ページ:
2360
バージョン:
publisher
概要:
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 © 2011 The Japanese Society of Internal Medicine. 続きを見る
URL:
http://hdl.handle.net/2297/29568
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