title: Successful medical treatment for staphylococcal vertebral osteomyelitis complicated by spinal epidural abscess, psoas abscess and meningitis: a case report.
abstract: A 42 year-old farmer was transferred to our hospital for recently exaggerated lower back pain. Neurological examination revealed an L4 radiculopathy on the right side. Meningitis developed after admission. MRI showed L4-5 osteomyelitis and discitis with contiguous spinal epidural abscess and right psoas abscess. Blood culture and CSF culture both grew Staphylococcus aureus. Because the patient refused to receive a drainage procedure, we gave him antibiotics which resulted in a favorable outcome.
authors.affiliation: Department of Urology, Chi-Mei Foundation Hospital, Taiwan, Republic of China.
authors.forename: T C
authors.initials: TC
authors.lastname: Cheng
authors.forename: T C
authors.initials: TC
authors.lastname: Tsai
authors.forename: G J
authors.initials: GJ
authors.lastname: Lin
mesh_terms: D000038:Abscess / Q000628:therapy*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000188:drug therapy*; D010019:Osteomyelitis / Q000150:complications / Q000188:drug therapy*; D016659:Psoas Abscess / Q000188:drug therapy*; D013122:Spinal Diseases / Q000188:drug therapy*; D013203:Staphylococcal Infections / Q000150:complications / Q000188:drug therapy*
chemical_list: D000900:Anti-Bacterial Agents