Successful medical treatment for staphylococcal vertebral osteomyelitis complicated by spinal epidural abscess, psoas abscess and meningitis: a case report
Cheng, T.C.; Tsai, T.C.; Lin, G.J.
Gaoxiong Yi Xue Ke Xue Za Zhi 11(5): 295-299
1995
ISSN/ISBN: 0257-5655 PMID: 7602668 Document Number: 448470
A 42 year-old farmer was transferred to our hospital for recently exaggerated lower back pain. Neurological examination revealed an L4 radiculopathy on the right side. Meningitis developed after admission. MRI showed L4-5 osteomyelitis and discitis with contiguous spinal epidural abscess and right psoas abscess. Blood culture and CSF culture both grew Staphylococcus aureus. Because the patient refused to receive a drainage procedure, we gave him antibiotics which resulted in a favorable outcome.