Vertebral Osteomyelitis.

被引：394

作者：

Zimmerli, Werner ^{[1
]}

机构：

[1] Univ Basel, Med Clin, Kantonsspital, Liestal, Switzerland

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2010年 / 362卷 / 11期

关键词：

STAPHYLOCOCCUS-AUREUS; SPINAL OSTEOMYELITIS; FOLLOW-UP; INFECTIONS; DIAGNOSIS; SPONDYLODISCITIS; VANCOMYCIN; MANAGEMENT; DISCITIS; RIFAMPIN;

D O I：

10.1056/NEJMcp0910753

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 57-year-old man presents with fever, chills, and new lumbar back pain 2 weeks after undergoing a prostate biopsy because of an increased prostate-specific antigen level. His temperature is 39.7 degrees C; he has an enlarged, tender prostate and lumbar spine tenderness. His white-cell count is 9100 per cubic millimeter, and the C-reactive protein level is 343 mg per liter. Urine and blood cultures reveal multidrug-resistant, extended-spectrum beta-lactamase-producing Escherichia coli susceptible to imipenem. How should he be evaluated and treated?

引用

页码：1022 / 1029

页数：8

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