| Literature DB >> 28784907 |
Christopher A Darlow1, Nikolaos Paidakakos2, Murtuza Sikander2, Bridget Atkins1.
Abstract
We present a case of a 60-year-old woman with an invasive spinal infection with Staphylococcus pseudintermedius associated with a 15-year-old spinal fixation device and epidemiological contact with dogs. It was confirmed on blood culture and culture from pus from the epidural abscess and successfully treated using similar treatment as for a Staphylococcus aureus infection - 6 weeks of intravenous flucloxacillin 2 g four times daily with a 6 week follow-on course of oral clindamycin 450 mg three times daily. This case represents the first reported deep abscess forming infection with this recently discovered organism. This case highlights that (1) S. pseudintermedius has a potential for invasive zoonotic infection, (2) treatment as for S. aureus appears adequate for resolution of the case, (3) the increased use of the matrix-assisted laser desorption/ionisation time-of-flight identification technique is leading to more specific identification of previously unrecognised organisms. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.Entities:
Keywords: bone and joint infections; medical management; neurosurgery; spinal cord
Mesh:
Year: 2017 PMID: 28784907 PMCID: PMC5624009 DOI: 10.1136/bcr-2017-221260
Source DB: PubMed Journal: BMJ Case Rep ISSN: 1757-790X