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頁籤選單縮合
題 名 | Spondylodiscitis and Infective Endocarditis Caused by Streptococcus Bovis in a Patient with Colon Cancer=牛鏈球菌在一位大腸癌病人引起的感染性脊椎間盤炎及心內膜炎 |
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作 者 | 王政為; 簡裕明; 楊榮森; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷 期 | 4:4 2009.11[民98.11] |
頁 次 | 頁274-281 |
分類號 | 415.3164 |
關鍵詞 | 脊椎間盤炎; 心內膜炎; 牛鏈球菌; 大腸癌; Spondylodiscitis; Endocarditis; Streptococcus bovis; Colon cancer; |
語 文 | 英文(English) |
英文摘要 | Musculoskeletal symptoms are complaints especially common in the elderly. Similar symptoms also occur in patients with infective endocarditis; they are often treated as rheumatic or degenerative diseases. In patients with infective endocarditis, symptoms may also be complicated with vertebral osteomyelitis, especially streptococcal infective endocarditis. Literature review indicates that, in patients, especially the elderly who have bacteremia and/or endocarditis from Streptococcus bovis, investigation of colonic lesions is optimal. The study reports a 64-year-old male patient with initial presentation of exertional dyspnea. Bacteremia and endocarditis from S. bovis was diagnosed. Colonoscopy showed a colon cancer in early stage over cecum. The patient underwent right hemicolectomy and had new onset of severe low back pain during this period. Magnetic resonance imaging revealed spondylodiscitis over low lumbar spine. He underwent debridment and anterior interbody fusion. Under the cover of antibiotics, he recovered well. For patients, who have bacteremia and/or endocarditis from S. bovis, screening test should be arranged under the suspicion of colon lesion, especially in the elderly. Moreover, the musculoskeletal symptoms should be treated with care for the possibility of infection. |
本系統中英文摘要資訊取自各篇刊載內容。