Community-Acquired MRSA Pyomyositis: Case Report and Review of the Literature
| Autor: | Sandhya Kanade, Douglas P. Olson, Sarita Soares |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty lcsh:Arctic medicine. Tropical medicine Pyomyositis business.industry lcsh:RC955-962 Osteomyelitis Cauda equina Case Report General Medicine Sacrum Spinal cord medicine.disease Microbiology Surgery Lumbar medicine.anatomical_structure Back pain medicine Parasitology Spinal canal medicine.symptom business |
| Zdroj: | Journal of Tropical Medicine Journal of Tropical Medicine, Vol 2011 (2011) |
| ISSN: | 1687-9694 1687-9686 |
| Popis: | Community-acquired methicillin-resistantStaphylococcus aureus(CA-MRSA) is responsible for a broad range of infections. We report the case of a 46-year-old gentleman with a history of untreated, uncomplicated Hepatitis C who presented with a 2-month history of back pain and was found to have abscesses in his psoas and right paraspinal muscles with subsequent lumbar spine osteomyelitis. Despite drainage and appropriate antibiotic management the patient's clinical condition deteriorated and he developed new upper extremity weakness and sensory deficits on physical exam. Repeat imaging showed new, severe compression of the spinal cord and cauda equina from C1 to the sacrum by a spinal epidural abscess. After surgical intervention and continued medical therapy, the patient recovered completely. This case illustrates a case of CA-MRSA pyomyositis that progressed to lumbar osteomyelitis and a spinal epidural abscess extending the entire length of the spinal canal. |
| Databáze: | OpenAIRE |
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