• Internal medicine · Feb 2022

    Case Reports

    Pyogenic Spondylitis Caused by Staphylococcus schleiferi in a Patient with Crohn's Disease.

    • Koji Fujimoto, Shuhei Hosomi, Rieko Nakata, Naoko Sugita, Yu Nishida, Shusei Fukunaga, Yuji Nadatani, Koji Otani, Fumio Tanaka, Noriko Kamata, Yasuaki Nagami, Koichi Taira, Toshio Watanabe, and Yasuhiro Fujiwara.
    • Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan.
    • Intern. Med. 2022 Feb 15; 61 (4): 577-580.

    AbstractStaphylococcus schleiferi has rarely been reported to cause pyogenic spondylitis. A 42-year-old man had been treated for Crohn's disease with immunosuppressive agents and home parenteral nutrition via a central vein (CV) port. The patient was admitted to our hospital, presenting with neck pain and a fever. A neurological examination showed slight weakness in his left-hand muscles, and he was diagnosed with pyogenic spondylitis of C6 and C7 vertebral bodies due to catheter-related blood stream infection caused by S. schleiferi. An early diagnosis by magnetic resonance imaging, CV port removal and antibiotic therapy targeting S. schleiferi improved his symptoms.

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