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KMID : 0828520160200010056
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Journal of the Korean Geriatrics Society
2016 Volume.20 No. 1 p.56 ~ p.60
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Vertebral Osteomyelitis due to Mycobacterium intracellulare in an Immunocompetent Elderly Patient After Vertebroplasty
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Kim Min-Seong
Park Chan-Keol
Sohn Kyung-Mok
Song Chagn-Hyun
Cheon Shin-Hye
Kim Yeon-Sook
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Abstract
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Mycobacterium avium complex (MAC) comprises M. intracellulare and M. avium. MAC usually causes pulmonary diseases in individuals with intact immunity, disseminated disease in patients with acquired immunodeficiency syndrome, and cervical lymphadenitis. It can also cause cutaneous disease, but musculoskeletal infection is rare. Herein, we present a case of vertebral osteomyelitis due to M. intracellulare in an elderly immunocompetent patient who underwent vertebroplasty. The patient was successfully treated with antimycobacterial drugs without surgical intervention. MAC should be considered as a causative pathogen of vertebral osteomyelitis when the patient has a history of vertebroplasty.
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KEYWORD
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Mycobacterium avium-intracellulare infection, Mycobacterium avium complex, Nontuberculous mycobacteria, Osteomyelitis, Vertebroplasty
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