Community-Acquired MRSA Pyomyositis: Case Report and Review of the Literature

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 absces...

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Main Authors: Douglas P. Olson, Sarita Soares, Sandhya V. Kanade
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Tropical Medicine
Online Access:http://dx.doi.org/10.1155/2011/970848
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author Douglas P. Olson
Sarita Soares
Sandhya V. Kanade
author_facet Douglas P. Olson
Sarita Soares
Sandhya V. Kanade
author_sort Douglas P. Olson
collection DOAJ
description 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.
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spelling doaj-art-cb0d1e7df5eb4da98c1cf8898961d9be2025-08-20T02:19:48ZengWileyJournal of Tropical Medicine1687-96861687-96942011-01-01201110.1155/2011/970848970848Community-Acquired MRSA Pyomyositis: Case Report and Review of the LiteratureDouglas P. Olson0Sarita Soares1Sandhya V. Kanade2Yale University School of Medicine, Waterbury Hospital Campus, 64 Robbins Street, Pomeroy 3, Waterbury, CT 06721, USAYale University School of Medicine, Waterbury Hospital Campus, 64 Robbins Street, Pomeroy 3, Waterbury, CT 06721, USAYale University School of Medicine, Waterbury Hospital Campus, 64 Robbins Street, Pomeroy 3, Waterbury, CT 06721, USACommunity-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.http://dx.doi.org/10.1155/2011/970848
spellingShingle Douglas P. Olson
Sarita Soares
Sandhya V. Kanade
Community-Acquired MRSA Pyomyositis: Case Report and Review of the Literature
Journal of Tropical Medicine
title Community-Acquired MRSA Pyomyositis: Case Report and Review of the Literature
title_full Community-Acquired MRSA Pyomyositis: Case Report and Review of the Literature
title_fullStr Community-Acquired MRSA Pyomyositis: Case Report and Review of the Literature
title_full_unstemmed Community-Acquired MRSA Pyomyositis: Case Report and Review of the Literature
title_short Community-Acquired MRSA Pyomyositis: Case Report and Review of the Literature
title_sort community acquired mrsa pyomyositis case report and review of the literature
url http://dx.doi.org/10.1155/2011/970848
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