Article Text

Download PDFPDF
CASE REPORT
A spinal infection with Staphylococcus pseudintermedius
  1. Christopher A Darlow1,
  2. Nikolaos Paidakakos2,
  3. Murtuza Sikander2,
  4. Bridget Atkins1
  1. 1Department of Infectious Diseases and Microbiology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
  2. 2Department of Neurosurgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
  1. Correspondence to Dr Christopher A Darlow, chrisdarlow{at}gmail.com

Summary

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 infection6 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.

  • bone and joint infections
  • medical management
  • spinal cord
  • neurosurgery
View Full Text

Statistics from Altmetric.com

Footnotes

  • Contributors CD collected the case data and was the primary author of the manuscript. NP and MS assisted with the drafting of the paper, reviewed the final draft and provided the figures for inclusion in the paper. BA provided input into the design of the paper, assisted with the drafting of the paper, reviewed the drafts and provided senior oversight of the writing process.

  • Competing interests None declared.

  • Patient consent Obtained.

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

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.