Escherichia coli Vertebral Osteomyelitis Diagnosed According to Broad-range 16S rRNA Gene Polymerase Chain Reaction (PCR)

Identifying the causative agent of pyogenic osteomyelitis is often challenging, especially when antibiotics are administered before a biopsy. We herein present a case of osteomyelitis in the cervical vertebrae presenting with progressive paralytic symptoms, in which we successfully identified Escher...

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Veröffentlicht in:Internal Medicine 2015, Vol.54(24), pp.3237-3240
Hauptverfasser: Shibata, Satoshi, Tanizaki, Ryutaro, Watanabe, Koji, Makabe, Kenta, Shoda, Naoki, Kutsuna, Satoshi, Nagamatsu, Maki, Oka, Shinichi, Ohmagari, Norio
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container_end_page 3240
container_issue 24
container_start_page 3237
container_title Internal Medicine
container_volume 54
creator Shibata, Satoshi
Tanizaki, Ryutaro
Watanabe, Koji
Makabe, Kenta
Shoda, Naoki
Kutsuna, Satoshi
Nagamatsu, Maki
Oka, Shinichi
Ohmagari, Norio
description Identifying the causative agent of pyogenic osteomyelitis is often challenging, especially when antibiotics are administered before a biopsy. We herein present a case of osteomyelitis in the cervical vertebrae presenting with progressive paralytic symptoms, in which we successfully identified Escherichia coli from a biopsy specimen using broad-range 16S rRNA gene polymerase chain reaction (PCR) even though sensitive antibiotics had been used for more than 50 days before the biopsy. Broad-range 16S rRNA gene PCR is a useful diagnostic method, especially when prebiopsy antibiotics are unavoidably used for a clinically unstable state.
doi_str_mv 10.2169/internalmedicine.54.5066
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subjects a broad-range 16S rRNA gene PCR
Anti-Bacterial Agents
Cervical Vertebrae
Enterobacteriaceae Infections - diagnosis
Escherichia coli (E. coli)
Escherichia coli - genetics
Female
Humans
Middle Aged
Osteomyelitis - diagnosis
Polymerase Chain Reaction
prebiopsy antibiotics exposure
RNA, Ribosomal, 16S - genetics
vertebral osteomyelitis
title Escherichia coli Vertebral Osteomyelitis Diagnosed According to Broad-range 16S rRNA Gene Polymerase Chain Reaction (PCR)
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