Bilateral psoas abscesses caused by methicillin-resistant Staphylococcus aureus (MRSA) after posterolateral fusion of the lumbar spine

Abstract Psoas abscess following spine surgery is a rare condition that can be overlooked or delayed as a result of its vague clinical manifestations. Gone unchecked, it can lead to severe morbidity and even death. We present a 71-year-old female patient who developed bilateral psoas abscess immedia...

Full description

Saved in:
Bibliographic Details
Published inJournal of clinical neuroscience Vol. 17; no. 11; pp. 1465 - 1467
Main Authors Berti, Aldo F, Santillan, Alejandro
Format Journal Article
LanguageEnglish
Published Scotland Elsevier Ltd 01.11.2010
Subjects
Aged
Female
Humans
Lumbar Vertebrae - microbiology
Lumbar Vertebrae - surgery
Methicillin-resistant Staphylococcus aureus (MRSA)
Methicillin-Resistant Staphylococcus aureus - pathogenicity
Neurology
Neurosurgical Procedures - adverse effects
Neurosurgical Procedures - methods
Percutaneous lumbar drainage
Postoperative Complications - etiology
Postoperative Complications - microbiology
Psoas abscess
Psoas Abscess - microbiology
Psoas Abscess - surgery
Psoas Muscles - microbiology
Psoas Muscles - surgery
Spinal fusion
Spinal Fusion - adverse effects
Spinal Fusion - methods
Staphylococcal Infections - etiology
Staphylococcal Infections - surgery
Staphylococcus aureus
Transpedicular fixation
Treatment Outcome
Psoas abscess
Percutaneous lumbar drainage
Methicillin-resistant Staphylococcus aureus (MRSA)
Spinal fusion
Transpedicular fixation
Online AccessGet full text

Cover

More Information
Summary:Abstract Psoas abscess following spine surgery is a rare condition that can be overlooked or delayed as a result of its vague clinical manifestations. Gone unchecked, it can lead to severe morbidity and even death. We present a 71-year-old female patient who developed bilateral psoas abscess immediately following L2 through S1 posterior instrumented fusion. The patient underwent CT-guided percutaneous drainage of the bilateral psoas abscess and blood cultures revealed methicillin-resistant Staphylococcus aureus (MRSA) sensitive to vancomycin. Following surgical re-exploration, debridement and removal of part of the instrumentation, the patient received antibiotic treatment for 12 weeks and at 1-year follow-up the patient continues asymptomatic.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ObjectType-Article-2
ObjectType-Feature-1
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2010.04.006