Document Detail


Community-acquired MRSA pyomyositis: case report and review of the literature.
MedLine Citation:
PMID:  21461362     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Community-acquired methicillin-resistant Staphylococcus 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.
Authors:
Douglas P Olson; Sarita Soares; Sandhya V Kanade
Publication Detail:
Type:  Journal Article     Date:  2011-03-02
Journal Detail:
Title:  Journal of tropical medicine     Volume:  2011     ISSN:  1687-9694     ISO Abbreviation:  J Trop Med     Publication Date:  2011  
Date Detail:
Created Date:  2011-04-04     Completed Date:  2011-07-14     Revised Date:  2011-07-28    
Medline Journal Info:
Nlm Unique ID:  101524194     Medline TA:  J Trop Med     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  970848     Citation Subset:  -    
Affiliation:
Yale University School of Medicine, Waterbury Hospital Campus, 64 Robbins Street, Pomeroy 3, Waterbury, CT 06721, USA.
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