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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 125 - 128 (4page)
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초록· 키워드
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Enterobacter cloacae has emerged as an important nosocomial pathogen, but is rarely a cause of sacroiliitis. Herein, we present the first reported case of Enterobacter cloacae sacroiliitis associated with sepsis and acute respiratory distress syndrome (ARDS).
A previously healthy 14-year-old boy presented with low-grade fever and pain in the left side of the hip that was aggravated by walking. Pelvic computed tomography (CT) showed normal findings, and the patient received supportive care for transient synovitis with no antibiotics. However, there was no clinical improvement. On the third day of hospitalization, magnetic resonance imaging of the hip revealed findings compatible with sacroiliitis, for which vancomycin and ceftriaxone were administered. The patient suddenly developed high fever with dyspnea. Chest radiography and CT findings and a PaO2/FiO2 ratio <200 mmHg were suggestive of ARDS; the patient subsequently received ventilatory support and low-dose methylprednisolone infusions.
Within one week, defervescence occurred, and the patient was able to breathe on his own. Following the timely recognition of, and therapeutic challenge to, ARDS, and after 6 weeks of parenteral antimicrobial therapy, the patient was discharged in good health with no complications.
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참고문헌 (16)
참고문헌 신청
ARDS Definition Task Force / 2012 / Acute respiratory distress syndrome: the Berlin Definition / JAMA 307 : 2526 ~ 2533
Amato MB / 1998 / Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome / N Engl J Med 338 : 347 ~ 354
Asavamongkolkul A / 2007 / Pyogenic sacroiliitis and adult respiratory distress syndrome:a case report / J Orthop Surg (Hong Kong) 15 : 226 ~ 229
Doita M / 2003 / Acute pyogenic sacroiliitis without predisposing conditions / Spine (Phila Pa 1976) 28 : E384 ~ E389
Ford LS / 2004 / Osteomyelitis and pyogenic sacroiliitis: A difficult diagnosis / J Paediatr Child Health 40 : 317 ~ 319
Amato MB / 1998 / Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome / N Engl J Med 338 : 347 ~ 354
Asavamongkolkul A / 2007 / Pyogenic sacroiliitis and adult respiratory distress syndrome:a case report / J Orthop Surg (Hong Kong) 15 : 226 ~ 229
Doita M / 2003 / Acute pyogenic sacroiliitis without predisposing conditions / Spine (Phila Pa 1976) 28 : E384 ~ E389
Ford LS / 2004 / Osteomyelitis and pyogenic sacroiliitis: A difficult diagnosis / J Paediatr Child Health 40 : 317 ~ 319
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