METHICILLIN-SENSITIVE STAPHYLOCOCCUS AUREUS BACTEREMIA AND MENINGITIS ASSOCIATED WITH SPINAL AND PSOAS MUSCLE ABSCESS – CASE REPORT
Journal
Journal of IMAB
Date Issued
2024-10
Author(s)
Dimitrova, Emilija
Rangelov, Goran
Cana, Fadil
Stojanoska, Tatjana
Milosvavljevikj, Ane
Georgievska, Dajana
Goshevska Piponska, Anita
DOI
10.5272/jimab.2024v30Supplement-14-34
Abstract
Methicillin-sensitive Staphylococcus aureus (MSSA) can cause a range of severe infections,
including bacteremia and meningitis. While MSSA-related bacteremia and meningitis are serious
on their own, they can also be associated with complex complications such as intraspinal and
psoas abscesses. We report a case of a 72-year-old male with symptoms including lower back
pain, leg weakness, malaise, fever and headache. Initial laboratory results showed leucocythosis,
hyponatriemia and elevated CRP, while cerebrospinal fluid analysis indicated significant
pleocytosis and neutrophilia. After admission, three blood cultures were obtained, all of which
isolated MSSA. During hospitalization, a CT scan of the thorax and MR of the spine were
performed, revealing bilateral pleural effusion, L5-S1 intraspinal abscess, and an abscess in the
ileopsoas muscle. After 6 weeks of antibiotic therapy, a follow-up MRI was performed, which
showed regression of the abscesses.
This case underscores the severe complications of Staphylococcus aureus infection, including
meningitis, sepsis and abscesses. Effective management relies on prompt diagnosis,
comprehensive evaluation, and targeted antibiotic therapy. The patient’s positive outcome
highlights the importance of early recognition and tailored treatment in complex infections.
including bacteremia and meningitis. While MSSA-related bacteremia and meningitis are serious
on their own, they can also be associated with complex complications such as intraspinal and
psoas abscesses. We report a case of a 72-year-old male with symptoms including lower back
pain, leg weakness, malaise, fever and headache. Initial laboratory results showed leucocythosis,
hyponatriemia and elevated CRP, while cerebrospinal fluid analysis indicated significant
pleocytosis and neutrophilia. After admission, three blood cultures were obtained, all of which
isolated MSSA. During hospitalization, a CT scan of the thorax and MR of the spine were
performed, revealing bilateral pleural effusion, L5-S1 intraspinal abscess, and an abscess in the
ileopsoas muscle. After 6 weeks of antibiotic therapy, a follow-up MRI was performed, which
showed regression of the abscesses.
This case underscores the severe complications of Staphylococcus aureus infection, including
meningitis, sepsis and abscesses. Effective management relies on prompt diagnosis,
comprehensive evaluation, and targeted antibiotic therapy. The patient’s positive outcome
highlights the importance of early recognition and tailored treatment in complex infections.
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