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Metastatic spinal abscesses from diabetic foot osteomyelitis
Shang Shaho1, Shaila Khan1, M S Bobby Huda1
1Department of Diabetes and Metabolism, Barts and the London NHS Trust, London, UK.
Abstract:
A 66-year-old man with long-standing type 2 diabetes, nephropathy and neuropathy was admitted acutely with an infected left big toe neuropathic ulcer, with underlying osteomyelitis. His condition rapidly deteriorated with sepsis and right lobar pneumonia. Microbiology grew methicillin-sensitive Staphylococcus aureus. Shortly into his admission, he developed flaccid paraparesis, and an MRI showed multiple epidural abscesses with likely cord infarction, not amenable to surgical intervention. His sepsis resolved, but his paraparesis remained severe, requiring spinal rehabilitation.
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