Disseminated osteomyelitis after urinary tract infection in immunocompetent adult:A case report  

作　　者：Young Jun Kim Jae Hoon Lee 

机构地区：[1]Department of Internal Medicine,Institute of Wonkwang Medical Science,Wonkwang University College of Medicine,Iksan 54538,South Korea

出　　处：《World Journal of Clinical Cases》2020年第16期3542-3547,共6页世界临床病例杂志

摘　　要：BACKGROUND Urinary tract infection(UTI)is one of the most common bacterial infections.Acute pyelonephritis or upper urinary tract infection is often accompanied by bacteremia;however,bacteremia resolves in most cases without complication.Rarely,complications due to bacteremia occur.One of these is osteomyelitis.It mainly affects the lumbar vertebral bodies,and rarely affects other site.CASE SUMMARY An 80-year-old woman presented to the hospital with a two-month history of pain in both legs.Two months ago,she was admitted to the hospital for fever,flank pain,and urinary frequency and was diagnosed with bacteremic UTI.During hospitalization,she complained of pain in both legs;however,the pain resolved shortly after,and no abnormalities were observed on physical examination.Therefore,she was placed on 2-wk antibiotic therapy for UTI without further evaluation for leg pain.However,pain recurred after discharge and persisted;therefore,an imaging test was performed.Bone scan and magnetic resonance imaging suggested osseous infection in both femurs,tibiae and patellae.Surgical treatment was performed,and tissue-and bone cultures revealed Escherichia coli,a previously observed pathogen,which demonstrated same antibiotic sensitivities,as noted in previous UTI.She was diagnosed with disseminated osteomyelitis,as a complication of UTI,and was placed on an 8-wk antibiotic therapy.CONCLUSION Indication for osteomyelitis should be high regardless of bone pain at sites other than lumbar spine after or during UTI.

关 键 词：Urinary tract infection UROSEPSIS COMPLICATION DISSEMINATED OSTEOMYELITIS Escherichia coli Case report 

分 类 号：R681.2[医药卫生—骨科学] R691.3[医药卫生—外科学]