[Pyogenic cervical osteomyelitis following pneumonia].
A 65-year-old man was admitted because of severe cervical pain radiating to both shoulders and bouts of fever, which followed pneumonia. Bone scan showed increased focal uptake in C6-7, while computerized tomography showed destruction of the 7th intervertebral disk, with bone sequesters and soft tissue swelling. Fine needle aspiration drew purulent material with gram-positive bacteria on direct staining. Culture grew Staphylococcus aureus, coagulase positive. Treatment with IV cloxacillin for 3 weeks, followed by oral treatment for another 3, resulted in complete remission.
Habib
G
G
Dept. of Medicine, Shaare Zedek Medical Center, Jerusalem.
Ehrlich
A
A
Shilo
S
S
D000368:Aged; D002574:Cervical Vertebrae / Q000382:microbiology*; D003023:Cloxacillin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000188:drug therapy / Q000382:microbiology*; D011014:Pneumonia / Q000150:complications*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000302:isolation & purification
D003023:Cloxacillin