Septic pulmonary embolism complicated by pyogenic spondylitis and psoas abscesses in a patient with methicillin-sensitive Staphylococcus aureus bacteraemia | Zendy

Eriko Kashihara | Zendy; Kohei Fujita | Zendy; Hiroshi Koyama | Zendy; Tadashi Mio | Zendy

Open Access

Septic pulmonary embolism complicated by pyogenic spondylitis and psoas abscesses in a patient with methicillin-sensitive Staphylococcus aureus bacteraemia

Author(s) -

Eriko Kashihara,

Kohei Fujita,

Hiroshi Koyama,

Tadashi Mio

Publication year - 2018

Publication title -

oxford medical case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.169

H-Index - 9

ISSN - 2053-8855

DOI - 10.1093/omcr/omy108

Subject(s) - medicine , spondylitis , staphylococcus aureus , bacteremia , blood culture , abscess , methicillin resistant staphylococcus aureus , surgery , septic arthritis , pulmonary embolism , radiology , antibiotics , ankylosing spondylitis , microbiology and biotechnology , bacteria , arthritis , genetics , biology

Septic pulmonary embolism (SPE) is a rare condition, indicating bacteraemia. We report a rare case of bacteraemia causing SPE and multiple abscesses in a previously healthy patient. A previously healthy 33-year-old man presented to our hospital with fever and back pain for 3 weeks. Chest contrast-enhanced computed tomography image was suggestive of SPE, and the blood culture showed methicillin-susceptible . Additional focus identification revealed pyogenic spondylitis and abscesses in the psoas muscles. After the 6-week antimicrobial treatment, his clinical condition and image findings improved, and he was discharged. SPE should be considered as a critical consequence of bacteraemia, and early focus identification is essential for appropriate treatment.

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