TY - JOUR T1 - Treatment of a <em>Staphylococcus lugdunensis</em> cervical epidural abscess JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2018-227449 VL - 12 IS - 3 SP - e227449 AU - Thomas Noh AU - Thomas Marcus Zervos AU - Anne Chen AU - Mokbel Chedid Y1 - 2019/03/01 UR - http://casereports.bmj.com/content/12/3/e227449.abstract N2 - 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. ER -