title: Metastatic spinal abscesses from diabetic foot osteomyelitis.
abstract: A 66-year-old man with long-standing type 2 diabetes, nephropathy and neuropathy was admitted acutely with an infected left big toe neuropathic ulcer, with underlying osteomyelitis. His condition rapidly deteriorated with sepsis and right lobar pneumonia. Microbiology grew methicillin-sensitive Staphylococcus aureus. Shortly into his admission, he developed flaccid paraparesis, and an MRI showed multiple epidural abscesses with likely cord infarction, not amenable to surgical intervention. His sepsis resolved, but his paraparesis remained severe, requiring spinal rehabilitation.
authors.affiliation: Department of Diabetes and Metabolism, Barts and the London NHS Trust, London, UK.
authors.forename: Shang
authors.initials: S
authors.lastname: Shaho
authors.affiliation: Department of Diabetes and Metabolism, Barts and the London NHS Trust, London, UK.
authors.forename: Shaila
authors.initials: S
authors.lastname: Khan
authors.affiliation: Department of Diabetes and Metabolism, Barts and the London NHS Trust, London, UK.
authors.forename: M S Bobby
authors.initials: MS
authors.lastname: Huda
authors.affiliation: Department of Diabetes and Metabolism, Barts and the London NHS Trust, London, UK.
authors.forename: Tahseen Ahmad
authors.initials: TA
authors.lastname: Chowdhury
mesh_terms: D000038:Abscess / Q000209:etiology*; D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D017719:Diabetic Foot / Q000150:complications*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000150:complications*; D018410:Pneumonia, Bacterial / Q000209:etiology; D013122:Spinal Diseases / Q000209:etiology*; D013203:Staphylococcal Infections; D013211:Staphylococcus aureus