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T9-T10 Osteomyelitis, Epidural Abscess and Cord Compression Secondary to Mycobacterium abscessus. A Case Report

[ Vol. 21 , Issue. 2 ]

Author(s):

Michelle A. Davis* and Suresh Antony   Pages 295 - 299 ( 5 )

Abstract:


Case Report: We report a case of spinal abscess/osteomyelitis at the T9-T10 levels in a non-immunocompromised patient who presented with lower extremity weakness secondary to a Mycobacterium abscessus infection. This patient was successfully treated with surgical debridement with amikacin-tigecycline-imipenem triple therapy before and after her debridement. Outcomes and treatment with this rare cause of epidural abscess/osteomyelitis are not well defined at this time.

Background: Clinical Presentations with this species of mycobacterium are usually systemic with patients presenting with pulmonary and soft tissue infections. The primary presentation of spinal epidural abscess/osteomyelitis is unusual, especially when there is no primary focus such as a lung infection or concurrent bacteremia.

Conclusion: This paper presents a new case of spinal osteomyelitis without a primary source in addition to 10 previously reported M. abscessus cases. The treatment plans and outcomes suggest that surgical debridement along with a macrolide-based combination therapy should be considered a definitive treatment against Mycobacterium abscesses.

Keywords:

Mycobacterium abscessus, osteomyelitis, diagnosis, management, outcomes.

Affiliation:

Burrell College of Osteopathic Medicine, Las Cruces, New Mexico, Burrell College of Osteopathic Medicine, Las Cruces, New Mexico



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