甲氧西林敏感的金黄色葡萄球菌(MSSA)在环境中非常常见。它可以导致广泛的感染,从简单的沸腾到播散性和转移性感染。无感染性心内膜炎的播散性多灶性MSSA感染极为罕见。我们报告了一个48岁的糖尿病男性,他有背痛的抱怨,下肢无力,尿潴留,和鞍座感觉丧失。他的影像显示有硬膜外脓肿,脊柱炎,多个脊柱旁脓肿集合,髂腰肌和臀肌脓肿形成,腹部多发脓肿,多个空化肺结节,左侧脓胸,和奇静脉血栓形成。他接受了紧急椎板切除术和脊髓硬膜外脓肿的疏散治疗。他被纳入医疗团队,接受进一步的多学科患者护理。急诊医师和内科医生应该能够及早识别此类病例,以制定适当的管理计划。误诊和延迟开始治疗可能导致高死亡率和不良的患者预后。应使用先进的成像技术来避免错过病灶。改进的源控制导致更好的患者结果。
Methicillin-susceptible Staphylococcus aureus (
MSSA) is quite common in the environment. It can lead to a wide range of infections varying from simple boils to disseminated and metastatic infections. Disseminated multifocal
MSSA infection without infective endocarditis is extremely rare. We report a
case of a 48-year-old diabetic male who presented with complaints of back pain, lower limb weakness, urinary retention, and saddle sensation loss. His imaging showed an epidural abscess, spondylitis, multiple paraspinous abscess collections, iliopsoas and gluteal abscess formation, multiple abdominal abscesses, multiple cavitating lung nodules, left-sided empyema, and azygos venous thrombosis. He was managed with urgent laminectomy and evacuation of spinal epidural abscess. He was admitted under the medical team for further multidisciplinary patient care. Emergency physicians and internists should be able to recognize such cases early on to make appropriate management plans. Misdiagnosis and delay in treatment initiation can lead to high mortality and poor patient outcomes. Advanced imaging techniques should be utilized to avoid missed foci. Improved source control results in better patient outcomes.