Disseminated osteomyelitis after urinary tract infection in immunocompetent adult:A case report
作者机构：Department of Internal MedicineInstitute of Wonkwang Medical ScienceWonkwang University College of MedicineIksan 54538South Korea
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2020年第8卷第16期
页 面：3542-3547页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Urinary tract infection Urosepsis Complication Disseminated Osteomyelitis Escherichia coli Case report
摘 要：BACKGROUND Urinary tract infection(UTI)is one of the most common bacterial *** pyelonephritis or upper urinary tract infection is often accompanied by bacteremia;however,bacteremia resolves in most cases without ***,complications due to bacteremia *** of these is *** mainly affects the lumbar vertebral bodies,and rarely affects other *** SUMMARY An 80-year-old woman presented to the hospital with a two-month history of pain in both *** months ago,she was admitted to the hospital for fever,flank pain,and urinary frequency and was diagnosed with bacteremic *** hospitalization,she complained of pain in both legs;however,the pain resolved shortly after,and no abnormalities were observed on physical ***,she was placed on 2-wk antibiotic therapy for UTI without further evaluation for leg ***,pain recurred after discharge and persisted;therefore,an imaging test was *** scan and magnetic resonance imaging suggested osseous infection in both femurs,tibiae and *** treatment was performed,and tissue-and bone cultures revealed Escherichia coli,a previously observed pathogen,which demonstrated same antibiotic sensitivities,as noted in previous *** was diagnosed with disseminated osteomyelitis,as a complication of UTI,and was placed on an 8-wk antibiotic *** Indication for osteomyelitis should be high regardless of bone pain at sites other than lumbar spine after or during UTI.
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