Delayed Diagnosis of Tuberculous Spondylitis Masked by Concomitant Methicillin Resistant Staphylococcus Aureus Infection.
10.3340/jkns.2010.47.3.235
- Author:
Yong Min KIM
1
;
Jae Hun CHA
Author Information
1. Department of Neurosurgery, Maryknoll Medical Center, Busan, Korea. santanar@hanmail.net
- Publication Type:Case Report
- Keywords:
Tuberculous spondylitis;
Pyogenic spondylitis;
Concomitant infection
- MeSH:
Abscess;
Bacteria;
Delayed Diagnosis;
Humans;
Masks;
Methicillin;
Methicillin Resistance;
Methicillin-Resistant Staphylococcus aureus;
Mycobacterium tuberculosis;
Needles;
Psoas Muscles;
Spondylitis;
Staphylococcus;
Staphylococcus aureus;
Tuberculosis
- From:Journal of Korean Neurosurgical Society
2010;47(3):235-238
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present a case of tuberculous spondylitis in which diagnosis was masked by a concomitant pyogenic infection. The patient had undergone percutaneous needle aspiration of an abscess in the cavity of the psoas muscle. Early results from the culture regimen showed isolation of methicillin-resistant Staphylococcus aureus. After eight weeks, mycobacterium tuberculosis was grown at regimen which was cultured at the same site. Initial isolation of pyogenic bacteria, considered to be highly virulent organisms, led to delayed diagnosis and treatment of the tuberculosis.
