糖尿病患者副干酪乳杆菌所致椎体骨髓炎1例。病例报告及文献复习。

Q2 Medicine Infezioni in Medicina Pub Date : 2023-01-01 DOI:10.53854/liim-3103-13
Giuliana Carrega, Barbara Ricciardi, Valentina Bartolacci, Sabrina Brenci, Manuela Izzo, Patrizia Morelli, Stefania Tigano, Giovanni Riccio
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引用次数: 0

摘要

葡萄球菌是椎体骨髓炎最常见的原因,但由于不寻常的病原体感染也有报道。我们报告一例罕见的由副干酪乳杆菌引起的脊椎椎间盘炎。一名74岁男性糖尿病患者因发热和背部疼痛被评估。血培养和椎体活检显示副干酪乳杆菌阳性。他经常服用泻药和益生菌治疗慢性便秘。经过靶向治疗,患者病情有所好转,但在治疗结束两个月后死于心脏病发作。虽然副干酪乳杆菌通常不是致病性的,但脓毒症在免疫功能低下的患者中被描述,而椎体骨髓炎是罕见的。
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Vertebral osteomyelitis due to Lactobacillus paracasei in a diabetic patient. A case report and literature review.

Staphylococci are the most frequent cause of vertebral osteomyelitis, but infections due to unusual pathogens are also reported. We describe a rare case of spondylodiscitis due to Lactobacillus paracasei. A 74-year-old diabetic male was evaluated for fever and back pain. Blood cultures and vertebral biopsy were positive for Lactobacillus paracasei. He often took laxatives and probiotics for chronic constipation. After target treatment the patient improved but he died for a heart attack two months after the end of the treatment. Although Lactobacillus paracasei is usually not pathogenic, sepsis is described in immunocompromised patients while vertebral osteomyelitis is rare.

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来源期刊
Infezioni in Medicina
Infezioni in Medicina Medicine-Infectious Diseases
CiteScore
8.40
自引率
0.00%
发文量
62
期刊介绍: The Journal publishes original papers, in Italian or in English, on topics concerning aetiopathogenesis, prevention, epidemiology, diagnosis, clinical features and therapy of infections, whose acceptance is subject to the referee’s assessment. The Journal is of interest not only to infectious disease specialists, microbiologists and pharmacologists, but also to internal medicine specialists, paediatricians, pneumologists, and to surgeons as well. The Editorial Board includes experts in each of the above mentioned fields.
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