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Korean J Med > Volume 86(4); 2014 > Article
The Korean Journal of Medicine 2014;86(4): 519-522.
패혈증 비브리오균에 의한 위장관염에 이은 급성 화농성 척추염 1예
옥혜성1, 김병기1, 김기훈1, 박만제1, 이현수1, 위유미1, 강철인2
1성균관대학교 의과대학 삼성창원병원 내과
2성균관대학교 의과대학 삼성서울병원 감염내과
Vertebral Osteomyelitis Resulting from Hematogenous Spread of Vibrio Vulnificus Gastroenteritis
Hea Sung Ok1, Byeong Ki Kim1, Ki Hoon Kim1, Man Je Park1, Hyoun Soo Lee1, Yu Mi Wi1, Cheol-In Kang2
1Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea
2Division of Infectious Diseases, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Corresponding Author: Yu Mi Wi ,Tel: +82-55-290-6838, Fax: +82-55-290-0041, Email: yrhg95@naver.com
Received: April 14, 2013;   Revised: July 31, 2013;   Accepted: August 12, 2013.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Vibrio vulnificus is a halophilic gram-negative bacillus capable of causing severe to life-threatening infections in high-risk populations. Osteomyelitis caused by V. vulnificus is extremely rare, and a previously reported case had been associated with an adjacent soft-tissue infection. Herein we report the first case of vertebral osteomyelitis resulting from hematogenous spread of V. vulnificus gastroenteritis. The patient was successfully treated with a combination of cefotaxime and ciprofloxacin. (Korean J Med 2014;86:519-522)
Keywords: Vibrio vulnificus; Spondylitis; Gastroenteritis
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