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Ann Geriatr Med Res > Volume 20(1); 2016 > Article
Journal of the Korean Geriatrics Society 2016;20(1):56-60.
DOI: https://doi.org/10.4235/jkgs.2016.20.1.56    Published online March 31, 2016.
Vertebral Osteomyelitis due to Mycobacterium intracellulare in an Immunocompetent Elderly Patient After Vertebroplasty
Min Seong Kim, Chan Keol Park, Kyung Mok Sohn, Chang Hun Song, Shinhye Cheon, Yeon Sook Kim
Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea. medone@cnuh.co.kr
고령의 정상면역 환자에서 척추성형술 후에 발생한 <i>Mycobacterium intracellulare</i>에 의한 척추골수염
김민성<sup>*</sup>&#10625;박찬걸<sup>*</sup>&#10625;손경목&#10625;송창헌&#10625;천신혜&#10625;김연숙
충남대학교 의과대학 내과학교실
Abstract
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.
Key Words: Mycobacterium avium-intracellulare infection, Mycobacterium avium complex, Nontuberculous mycobacteria, Osteomyelitis, Vertebroplasty


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