Lumbar vertebral osteomyelitis and psoas abscess caused by Actinomyces israelii after an operation under general anesthesia in a patient with end-stage renal disease: a case report

摘要

Computed tomography of lumbar spine and psoas abscess on day 5, the day after meropenem and vancomycin were initiated. A coronal image showing low density area in the lateral part of left psoas major; a sagittal image showing several bone pieces in the intervertebral area of L2/L3 and swelling of the disc. Although he had received two prior surgeries in his lower lumbosacral spine from L4 to S2, there was neither fracture nor abscess around the instruments