title: [A case of Parkinson's disease associated with pyogenic spondylitis in the cervical vertebrae].
abstract: 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.
authors.affiliation: Division of Neurology, Institute of Neurological Sciences, Faculty of Medicine, Tottori University.
authors.forename: Keiko
authors.initials: K
authors.lastname: Imamura
authors.forename: Hisanori
authors.initials: H
authors.lastname: Kowa
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Kusumi
authors.forename: Kenichi
authors.initials: K
authors.lastname: Yasui
authors.forename: Takao
authors.initials: T
authors.lastname: Takeshima
authors.forename: Kenji
authors.initials: K
authors.lastname: Nakashima
mesh_terms: 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*