Enterobacter cloacae sacroiliitis with actue respiratory distress syndrome in an adolescent

Title
Enterobacter cloacae sacroiliitis with actue respiratory distress syndrome in an adolescent
Authors
오성희
Keywords
Enterobacter cloacae; Sepsis; Sacroiliitis; Acute respiratory distress syndrome; Adolescent
Issue Date
2015-06
Publisher
대한감염학회/대한화학요법학회
Citation
Infection and Chemotherapy, v. 47, NO 2, Page. 125-128
Abstract
Enterobacter cloacae has emerged as an important nosocomial pathogen, but is rarely a cause of sacroiliitis. Herein, we present the first reported case of Enterobacter cloacae sacroiliitis associated with sepsis and acute respiratory distress syndrome (ARDS). A previously healthy 14-year-old boy presented with low-grade fever and pain in the left side of the hip that was aggravated by walking. Pelvic computed tomography (CT) showed normal findings, and the patient received supportive care for transient synovitis with no antibiotics. However, there was no clinical improvement. On the third day of hospitalization, magnetic resonance imaging of the hip revealed findings compatible with sacroiliitis, for which vancomycin and ceftriaxone were administered. The patient suddenly developed high fever with dyspnea. Chest radiography and CT findings and a PaO2/FiO2 ratio <200 mmHg were suggestive of ARDS; the patient subsequently received ventilatory support and low-dose methylprednisolone infusions. Within one week, defervescence occurred, and the patient was able to breathe on his own. Following the timely recognition of, and therapeutic challenge to, ARDS, and after 6 weeks of parenteral antimicrobial therapy, the patient was discharged in good health with no complications.
URI
https://synapse.koreamed.org/DOIx.php?id=10.3947/ic.2015.47.2.125http://hdl.handle.net/20.500.11754/25419
ISSN
2093-2340; 2092-6448
DOI
http://dx.doi.org/10.3947/ic.2015.47.2.125
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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