Pyogenic Spondylitis Four Years After an Injection Into the Paraspinal Muscles

In the context of local injection techniques, there are infectious complications such as epidural abscesses and pyogenic spondylitis. An 83-year-old female who received an injection into the paraspinal muscles for lower back pain four years ago developed a paraspinal muscle abscess accompanied bymethicillin-susceptible Staphylococcus aureus bacteremia and multiple sites of pyogenic spondylitis. Non-surgical treatment was followed with 73 days of antibiotic therapy by cefazoline. We noted an improvement in inflammatory response in blood tests and findings of inflammation on imaging tests. Instances of delayed-onset infectious complications several years after simple local injection techniques are rare.