Acute Spinal Epidural Abscess as a Complication of Peripheral Intravenous Catheter-Associated Staphylococcus Aureus Bacteremia

摘要

Infected intravascular catheters are currently the most common source of Staphylococcus aureus bacteremia [1-4]. Serious complications include endocarditis and deep-seated meta-static infections in different organs [2,5-12]. Spinal epidural abscess as a complication of S. aureus bacteremia associated with infected intravenous catheters is rare [10,11].We report a case of acute spinal epidural abscess complicating methicillin-resistant S. aureus (MRSA) bacteremia associated with an infected peripheral intravenous catheter in a 60-year-old woman admitted for treatment of congestive heart failure.A 60-year-old woman with history of coronary artery disease, is-chemic cardiomyopathy with poor left ventricular function (left ventricular ejection fraction of 15%), valvular heart disease with moderate mitral regurgitation, tricuspid regurgitation, mild aortic regurgitation, and renal insufficiency presented to emergency department because of worsening leg edema and shortness of breath. She had been admitted on several previous occasions owing to congestive heart failure. She was admitted again for treatment of congestive heart failure. She was afebrile on admission.