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Bilateral psoas abscesses caused by methicillin-resistant Staphylococcus aureus (MRSA) after posterolateral fusion of the lumbar spine
- Source :
- Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 17(11)
- Publication Year :
- 2010
-
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.
- Subjects :
- Methicillin-Resistant Staphylococcus aureus
medicine.medical_specialty
Percutaneous
medicine.medical_treatment
medicine.disease_cause
Asymptomatic
Neurosurgical Procedures
Postoperative Complications
Physiology (medical)
medicine
Humans
Abscess
Aged
Psoas Muscles
Debridement
Lumbar Vertebrae
business.industry
General Medicine
Staphylococcal Infections
medicine.disease
Methicillin-resistant Staphylococcus aureus
Surgery
Spinal Fusion
Treatment Outcome
Neurology
Staphylococcus aureus
Spinal fusion
Anesthesia
Vancomycin
Psoas Abscess
Female
Neurology (clinical)
medicine.symptom
business
medicine.drug
Subjects
Details
- ISSN :
- 15322653
- Volume :
- 17
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
- Accession number :
- edsair.doi.dedup.....1acbcfec65577a704a5bd5d4a8ee7e97