[A case of Parkinson's disease associated with pyogenic spondylitis in the cervical vertebrae].
A 68-year-old woman with Parkinson's disease (PD) was admitted due to aspiration pneumonia. The symptoms improved partly by administration of antimicrobial agents and a steroid-pulse treatment, but she suffered repeated MRSA pneumonia, which caused a long-term bed confinement. Shoulder pain that appeared after she started rehabilitation did not improve on administration of NSAIDs. We suspected pyogenic spondylitis in the cervical vertebraes based on the cervical X-rays and the cervical MRI. Patients of PD often have a shoulder pain due to various causes. When a patient with PD has a severe shoulder pain, we should suspect pyogenic spondylitis in the cervical vertebraes as one of the differential diagnoses. It is necessary to do immediately thorough imaging examinations.
Imamura
Keiko
K
Division of Neurology, Institute of Neurological Sciences, Faculty of Medicine, Tottori University.
Kowa
Hisanori
H
Kusumi
Masayoshi
M
Yasui
Kenichi
K
Takeshima
Takao
T
Nakashima
Kenji
K
D000368:Aged; D002574:Cervical Vertebrae / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010300:Parkinson Disease / Q000150:complications*; D020069:Shoulder Pain / Q000209:etiology; D013166:Spondylitis / Q000175:diagnosis / Q000209:etiology*