Yale University School of Medicine, Waterbury Hospital Campus, 64 Robbins Street, Pomeroy 3, Waterbury, CT 06721, USA.
J Trop Med. 2011;2011:970848. doi: 10.1155/2011/970848. Epub 2011 Mar 2.
Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) is responsible for a broad range of infections. We report the case of a 46-year-old gentleman with a history of untreated, uncomplicated Hepatitis C who presented with a 2-month history of back pain and was found to have abscesses in his psoas and right paraspinal muscles with subsequent lumbar spine osteomyelitis. Despite drainage and appropriate antibiotic management the patient's clinical condition deteriorated and he developed new upper extremity weakness and sensory deficits on physical exam. Repeat imaging showed new, severe compression of the spinal cord and cauda equina from C1 to the sacrum by a spinal epidural abscess. After surgical intervention and continued medical therapy, the patient recovered completely. This case illustrates a case of CA-MRSA pyomyositis that progressed to lumbar osteomyelitis and a spinal epidural abscess extending the entire length of the spinal canal.
社区获得性耐甲氧西林金黄色葡萄球菌（CA-MRSA）可引起多种感染。我们报告了一例 46 岁的男性患者，患有未经治疗的单纯性丙型肝炎，他因背痛病史 2 个月就诊，发现其腰大肌和右侧椎旁肌有脓肿，随后发生腰椎骨髓炎。尽管进行了引流和适当的抗生素治疗，但患者的临床状况恶化，体检时出现新的上肢无力和感觉缺陷。重复影像学检查显示新的严重压迫性脊髓和马尾神经硬膜外脓肿从 C1 到骶骨。经过手术干预和持续的药物治疗，患者完全康复。该病例说明了一例由 CA-MRSA 引起的肌炎进展为腰椎骨髓炎和硬膜外脓肿，整个椎管均受影响。
