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CASE REPORT
Treatment of a Staphylococcus lugdunensis cervical epidural abscess
  1. Thomas Noh1,
  2. Thomas Marcus Zervos2,
  3. Anne Chen3 and
  4. Mokbel Chedid1
  1. 1 Department of Neurological Surgery, Henry Ford Hospital, Detroit, Michigan, USA
  2. 2 Department of Neurosurgery, Henry Ford Health System, Detroit, Michigan, USA
  3. 3 Department of Infectious Diseases, Henry Ford Hospital, Detroit, Michigan, USA
  1. Correspondence to Dr Thomas Noh, thomas.noh{at}gmail.com

Abstract

First reported in 1988, Staphylococcus lugdunensis is a virulent coagulase-negative Staphylococcus species often associated with endocarditis. This is the first case report describing this infection in the cervical spine. A 58-year-old, left-handed Caucasian woman with no significant medical history presented with neck and left arm pain. Neurological examination revealed mild left deltoid 4/5 weakness and myelopathy. She was found to have an epidural cervical spinal cord mass that was causing severe cord compression and underwent partial anterior cervical decompression of the mass. On entering what was believed to be the mass, yellow-tinged fluid was encountered. An abscess was immediately suspected, so the dura was not entered. The specimen sent for culture was identified a day later as S. lugdunensis. A two-dimensional echocardiogram was negative for vegetations. A peripherally inserted central catheter line was placed and the patient discharged on 6 weeks of physical therapy and 6–8 weeks of intravenous cefazolin.

  • infections
  • bone and joint infections
  • pathology

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Footnotes

  • Contributors TMZ helped with data gathering and manuscript preparation. MC helped with analysis and study oversight. AC assisted with manuscript composition and study oversight. TN was involved with data gathering, data analysis and manuscript preparation.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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