Journal of the Bahrain Medical Society

Year 2023, Volume 35, Issue 2, Pages 52-57

https://doi.org/10.26715/jbms.35_2_8

Case Report

Combined MRSA Spondylodiscitis Managed Conservatively in a Dialysis Patient: A Case Report

Omar Jamal Alalaiwi1*, Nahed Kamal2, Bedoor Alomran3

Author Affiliation

1Junior Resident, Department of Anesthesia, Bahrain Defense Force Hospital, Kingdom of Bahrain

2Acting Consultant, Department of Infectious Diseases & Internal Medicine, Bahrain Defense Force Hospital, Kingdom of Bahrain

3Chief Resident, Department of Radiology, Bahrain Defense Force Hospital, Kingdom of Bahrain

*Corresponding author:

Dr. Omar Jamal Alalaiwi, Junior Resident, Department of Anesthesia, Bahrain Defense Force Hospital, Kingdom of Bahrain; Email: O.alalaiwi95@gmail.com

Received date: March 18,2023 ; Accepted date: May 02, 2023 ; Published date: June 30, 2023

For tables and figures, please refer to PDF.


Abstract

Spinal infections comprise a large spectrum of clinical manifestations with multiple etiologies. Therefore, early detection and management are imperative to reduce morbidity and potential mortality associated with such conditions. Treatment modalities include using antibiotics based on the etiological agent and the neurosurgical team's possible intervention involvement. We present the case of a 52-year-old male patient who presented with lower back pain and was diagnosed with MRSA spondylodiscitis confirmed radiologically with MRI spine on a background of recent admission with MRSA line sepsis that was confirmed microbiologically through blood cultures. The patient was treated conservatively with a prolonged course of antibiotics and was followed up routinely to monitor response to treatment. Our case report describes MRSA spondylodiscitis clinical manifestation, diagnostic tests, treatment plan, and long-term outcome.

Keywords: Epidural Abscess, MRSA, Spinal Infection, Spondylodiscitis, Vancomycin.