title: Bacteremia with an iliopsoas abscess and osteomyelitis of the femoral head caused by Enterococcus avium in a patient with end-stage kidney disease.
abstract: A 70-year-old man on hemodialysis for end-stage kidney disease due to polycystic kidney disease presented with hip pain on extension and a high C-reactive protein level. Further examinations revealed an iliopsoas abscess and femoral head osteomyelitis caused by Enterococcus avium (E. avium) detected in blood and pus cultures. Complete resolution of the infection with ampicillin-resistant E. avium required six months of vancomycin therapy and two surgical drainage procedures. There have been no previous case reports in which both blood and abscess cultures confirmed E. avium infection. Careful attention should be paid to the detection of non-specific symptoms in patients on hemodialysis, with blood cultures being essential in such cases.
authors: Department of Nephrology, Showa General Hospital, Japan; Division of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, Japan.
authors: Akira
authors: A
authors: Okada
authors: Mika
authors: M
authors: Hangai
authors: Toshimi
authors: T
authors: Oda
mesh_terms: D000368:Aged; D016470:Bacteremia / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D002097:C-Reactive Protein / Q000032:analysis; D016983:Enterococcus / Q000187:drug effects / Q000302:isolation & purification*; D005270:Femur Head / Q000382:microbiology*; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D010019:Osteomyelitis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D007690:Polycystic Kidney Diseases / Q000150:complications / Q000628:therapy; D016659:Psoas Abscess / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D006435:Renal Dialysis; D013492:Suppuration / Q000382:microbiology; D016896:Treatment Outcome; D014640:Vancomycin / Q000627:therapeutic use
chemical_list: D014640:Vancomycin; D002097:C-Reactive Protein