{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T12:58:11Z","timestamp":1740142691250,"version":"3.37.3"},"reference-count":10,"publisher":"FapUNIFESP (SciELO)","issue":"5","license":[{"start":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:00:00Z","timestamp":1556668800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:00:00Z","timestamp":1556668800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:00:00Z","timestamp":1556668800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: We describe the case of a diabetic patient who developed vertebral osteomyelitis and bilateral psoas abscess with gas formation due to klebsiella pneumoniae.  METHODS: A 64-year-old woman with a 4-year history of type-2 diabetes mellitus was admitted to the Emergency Department. The subject had a 2-day history of high-grade fever associated with chills and a 5-hour history of consciousness. She received empirical treatment with febrifuge, after which her fever decreased.  RESULTS: Her fever recurred after an interval of three hours. A computed tomography scan of the abdomen revealed vertebral osteomyelitis and bilateral psoas muscle abscess with gas formation. Blood culture and purulent fluid described the growth of the Klebsiella pneumoniae. The patient received antibiotic therapy and bilateral drainage therapy after the drainage catheter was placed into the abscess cavity by CT-guidance. Due to the serious damage to the vertebral column and permanent pain, the patient underwent minimally invasive internal spinal fixation and recovered successfully.  CONCLUSION: A case of vertebral osteomyelitis and bilateral psoas abscess with gas formation caused by Klebsiella pneumoniae in a diabetic patient. Antibiotic therapy, drainage, and minimally invasive internal spinal fixation were performed, which enabled a good outcome.<\/jats:p>","DOI":"10.1590\/1806-9282.65.5.678","type":"journal-article","created":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T15:41:34Z","timestamp":1559403694000},"page":"678-681","source":"Crossref","is-referenced-by-count":2,"title":["Successful medical drainage and surgical treatment for vertebral osteomyelitis and bilateral psoas abscess with gas formation caused by klebsiella pneumoniae in a diabetic patient"],"prefix":"10.1590","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9204-7249","authenticated-orcid":false,"given":"Wei-Yang","family":"Yu","sequence":"first","affiliation":[{"name":"Zhejiang University,  P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1023-6773","authenticated-orcid":false,"given":"Ke-Jun","family":"Zhu","sequence":"additional","affiliation":[{"name":"Zhejiang University,  P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0945-3984","authenticated-orcid":false,"given":"Qiao-Ping","family":"Li","sequence":"additional","affiliation":[{"name":"Zhejiang University,  P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0575-1941","authenticated-orcid":false,"given":"Chao","family":"Lou","sequence":"additional","affiliation":[{"name":"Zhejiang University,  P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3267-8997","authenticated-orcid":false,"given":"Deng-Wei","family":"He","sequence":"additional","affiliation":[{"name":"Zhejiang University,  P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019,5]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"crossref","first-page":"2256","DOI":"10.1007\/s00586-013-2972-5","article-title":"Internal fixation with percutaneous kyphoplasty compared with simple percutaneous kyphoplasty for thoracolumbar burst fractures in elderly patients: a prospective randomized controlled trial","volume":"22","author":"He D","year":"2013","journal-title":"Eur Spine J"},{"issue":"3","key":"ref2","first-page":"201","article-title":"Klebsiella pneumoniae psoas abscess: predominance in diabetic patients and grave prognosis in gas-forming cases","volume":"34","author":"Chang CM","year":"2001","journal-title":"J Microbiol Immunol Infect"},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1007\/s10156-011-0338-7","article-title":"Necrotizing fasciitis following psoas muscle abscess caused by hypermucoviscous Klebsiella pneumoniae","volume":"18","author":"Mita N","year":"2012","journal-title":"J Infect Chemother"},{"issue":"3-4","key":"ref4","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1080\/10647440400020695","article-title":"Primary psoas muscle abscess diagnosed and treated during pregnancy: case report and literature review","volume":"12","author":"Gezer A","year":"2004","journal-title":"Infect Dis Obstet Gynecol"},{"issue":"5","key":"ref5","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1007\/BF01655254","article-title":"Pyogenic psoas abscess: worldwide variations in etiology","volume":"10","author":"Ricci MA","year":"1986","journal-title":"World J Surg"},{"issue":"20","key":"ref6","doi-asserted-by":"crossref","first-page":"2357","DOI":"10.2169\/internalmedicine.50.5863","article-title":"Pneumococcal vertebral osteomyelitis and psoas abscess in a patient with systemic lupus erythematosus disclosing positivity of pneumococcal urinary antigen assay","volume":"50","author":"Matsumura M","year":"2011","journal-title":"Intern Med"},{"issue":"10","key":"ref7","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1086\/340102","article-title":"Vertebral osteomyelitis: long-term outcome for 253 patients from 7 Cleveland-area hospitals","volume":"34","author":"McHenry MC","year":"2002","journal-title":"Clin Infect Dis"},{"issue":"2","key":"ref8","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1055\/s-0034-1370789","article-title":"One-stage biopsy, debridement, reconstruction, and stabilization of pyogenic vertebral osteomyelitis","volume":"4","author":"Menon VK","year":"2014","journal-title":"Global Spine J"},{"issue":"4","key":"ref9","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/0736-4679(95)80006-9","article-title":"Tuberculous psoas abscess","volume":"13","author":"Harrigan RA","year":"1995","journal-title":"J Emerg Med"},{"issue":"6","key":"ref10","first-page":"540","article-title":"Gram-negative bacillary meningitis in adults: a recent six-year experience","volume":"92","author":"Jang TN","year":"1993","journal-title":"J Formos Med Assoc"}],"container-title":["Revista da Associa\u00e7\u00e3o M\u00e9dica Brasileira"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/ramb\/v65n5\/1806-9282-ramb-65-05-0678.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,11]],"date-time":"2020-02-11T13:16:14Z","timestamp":1581426974000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-42302019000500678&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":10,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2019,5]]}},"alternative-id":["S0104-42302019000500678"],"URL":"https:\/\/doi.org\/10.1590\/1806-9282.65.5.678","relation":{},"ISSN":["1806-9282","0104-4230"],"issn-type":[{"type":"electronic","value":"1806-9282"},{"type":"print","value":"0104-4230"}],"subject":[],"published":{"date-parts":[[2019,5]]}}}