Metastatic spinal abscesses from diabetic foot osteomyelitis

A 66-year-old man with long-standing type 2 diabetes, nephropathy and neuropathy was admitted acutely with an infected left big toe neuropathic ulcer, with underlying osteomyelitis. His condition rapidly deteriorated with sepsis and right lobar pneumonia. Microbiology grew methicillin-sensitive Stap...

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Bibliographic Details
Published inBMJ case reports Vol. 2014; p. bcr2014204816
Main Authors Shaho, Shang, Khan, Shaila, Huda, MS Bobby, Chowdhury, Tahseen Ahmad
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 11.06.2014
BMJ Publishing Group
SeriesCase Report
Subjects
Abscess - etiology
Abscesses
Aged
Antibiotics
Back pain
Debridement
Diabetes
Diabetes Mellitus, Type 2 - complications
Diabetic Foot - complications
Diagnosis, Differential
Epidural
Foot diseases
Humans
Infections
Leg ulcers
Male
Metastasis
Osteomyelitis - complications
Pneumonia, Bacterial - etiology
Sepsis
Spinal cord
Spinal Diseases - etiology
Staphylococcal Infections
Staphylococcus aureus
United Kingdom
Unusual Association of Diseases/Symptoms
White
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Summary:A 66-year-old man with long-standing type 2 diabetes, nephropathy and neuropathy was admitted acutely with an infected left big toe neuropathic ulcer, with underlying osteomyelitis. His condition rapidly deteriorated with sepsis and right lobar pneumonia. Microbiology grew methicillin-sensitive Staphylococcus aureus. Shortly into his admission, he developed flaccid paraparesis, and an MRI showed multiple epidural abscesses with likely cord infarction, not amenable to surgical intervention. His sepsis resolved, but his paraparesis remained severe, requiring spinal rehabilitation.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2014-204816