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Staphylococcal vertebral osteomyelitis: case report

A C Longe1, M I el-Tahir, M al-Assaf

  • 1Department of Medicine, College of Medicine, King Saud University, Abha, Saudi Arabia.

East African Medical Journal
|September 1, 1995
PubMed
Summary
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A rare case of Staphylococcus aureus causing spinal cord compression in Saudi Arabia highlights the importance of tissue diagnosis for inflammatory paravertebral masses, even in regions endemic for tuberculosis and brucellosis.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Spinal Surgery

Background:

  • Spinal cord compression can lead to severe neurological deficits.
  • Inflammatory paravertebral masses are often caused by infections like tuberculosis and brucellosis in endemic areas.
  • Rapidly progressive quadriparesis necessitates prompt diagnosis and intervention.

Observation:

  • A 65-year-old male presented with rapidly progressive quadriparesis.
  • Radiological imaging revealed lower cervical myelopathy with bone destruction, spinal inflammatory disease, and a paravertebral mass.
  • Staphylococcus aureus was identified as the causative agent from surgical tissue samples.

Findings:

  • Surgical decompression of the spinal cord was performed.
  • A 2-month course of intravenous flucloxacillin was administered.

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  • The patient achieved an almost complete recovery over a 12-month follow-up period.

    • Implications:

    • This case emphasizes the critical role of tissue diagnosis for inflammatory paravertebral swellings.
    • It highlights Staphylococcus aureus as a potential pathogen in spinal infections, even in tuberculosis and brucellosis endemic regions.
    • Accurate etiological diagnosis is crucial for effective treatment and improved patient outcomes in spinal inflammatory conditions.