Korean J Med > Volume 86(4); 2014 > Article
The Korean Journal of Medicine 2014;86(4):515-518.
Published online April 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.4.515   
A Case of Vertebral Osteomyelitis and Spinal Epidural Abscess Caused by Haemophilus aphrophilus
Yong Kyun Kim1, Tae Jun Kim1, Dong Min Jung1, Soon Young Kim1, Jeong-a Lee1, Seung Soon Lee1, Sung-Hye Koh2
1Departments of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea
2Departments of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea
Haemophilus aphrophilus에 의한 척추 골수염 및 경막외 농양 1예
김용균1, 김태준1, 정동민1, 김순영1, 이정아1, 이승순1, 고성혜2
1한림대학교 의과대학 성심병원 내과
2한림대학교 의과대학 성심병원 영상의학과
Correspondence: 
Seung Soon Lee, Tel: +82-31-380-3724, Fax: +82-31-381-3724, Email: hushh93@hallym.or.kr
Received: 9 July 2013   • Revised: 6 August 2013   • Accepted: 2 October 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
Haemophilus aphrophilus is an aerobic, gram-negative oropharyngeal bacterium, commonly isolated from cases of HACEK endocarditis. In addition, H. aphrophilus has also been shown to cause invasive bone and joint infections. Although multiple cases of H. aphrophilus endocarditis have been described, no cases of invasive bone and joint infections caused by H. aphrophilus have been reported in Korea. Here we report the case of a 69-year old woman with a diagnosis of vertebral osteomyelitis and spinal epidural abscess with compressive myelopathy caused by H. aphrophilus, in which there was no objective evidence of infective endocarditis. She was successfully treated with intravenous administration of cefotaxime and drainage of the epidural abscess by laminectomy of the T3-7 vertebrae. (Korean J Med 2014;86:515-518)
Key Words: Haemophilus infection; Spondylitis; Epidural abscess; Spinal
주제어: Haemophilus infection; 척추염; 경막외 농양


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