[Spondylodiscitis caused by a strain of Staphylococcus aureus, in vitro sensitive to penicillin].
The case history of a man referred to our department with the diagnosis of purulent meningitis; actually, he presented spondylodiscitis of the lumbar spine with the infection spreading into the spinal canal and the left psoas muscle. The disease was caused by a strain of Staphylococcus aureus, which in vitro was sensitive to penicillin. However, treatment with crystalline penicillin in combination with ciprofloxacin failed. The paper suggests a differential diagnosis permitting to distinguish a typical purulent meningitis and an abscess in the spinal canal. The authors also discuss the suitability of administering penicillin in staphylococcal sepsis caused by a sensitive strain. The authors do not recommend crystalline penicillin in the management of severe staphylococcal infections even in cases, where the isolated S. aureus strain is really sensitive to penicillin.
Benes
Jirí
J
Department of Infectious Diseases, 3rd Medical Faculty, Charles University Prague, Budínova 2, 180-81 Prague 8, Czech Republic. benes@cesnet.cz
Kabelková
Mária
M
Kotlíková
Jana
J
Petrás
Petr
P
Louda
Jan
J
D015299:Discitis / Q000188:drug therapy / Q000382:microbiology*; D024881:Drug Resistance, Bacterial; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D010068:Oxacillin / Q000627:therapeutic use; D010400:Penicillin G / Q000627:therapeutic use*; D013203:Staphylococcal Infections / Q000188:drug therapy* / Q000382:microbiology; D013211:Staphylococcus aureus / Q000187:drug effects*
D010400:Penicillin G; D010068:Oxacillin