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KMID : 1144320120440060530
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감염과 화학요법
2012 Volume.44 No. 6 p.530 ~ p.534
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Vertebral Osteomyelitis caused by Mycobacterium abscessus in an Immunocompetent Patient
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Je Dongmo
Kang Cheol-In
Joung Ji-young
Jeong Hye-Min
Cho Yoon-Young
Huh Kyungmin
Peck Kyong-Ran
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Abstract
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Vertebral osteomyelitis caused by nontuberculous mycobacteria (NTM) is rarely reported, especially in an immunocompetent host. NTM are usually not susceptible in vitro to antituberculous drugs, and appropriate antimicrobial therapy for treatment of NTM infection is based on susceptibility results, which vary between different NTM species; therefore, treatment of vertebral osteomyelitis caused by NTM is challenging. We report on the first case of vertebral osteomyelitis caused by M. abscessus in an otherwise healthy individual, confirmed by cultures of bone tissue obtained during surgery. Clinical cure was achieved with a combination of antimicrobial therapy and surgery. We also review previous reports of vertebral osteomyelitis caused by NTM.
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KEYWORD
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Nontuberculous Mycobacteria, Mycobacterium abscessus, Vertebral Osteomyelitis, Immunocompetent Host
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