| [ Summary ] |
Herein, we present a case of lumbar vertebral osteomyelitis and iliopsoas muscle abscess due to methicillin-resistant Staphylococcus aureus (MRSA) infection in a patient undergoing hemodialysis and describe the disease entities, diagnoses, and treatment of these diseases. Delayed treatment of sepsis induced by catheter-related blood stream infection is easily complicated with lumbar vertebral osteomyelitis and iliopsoas muscle abscess. Magnetic resonance imaging (MRI) is needed for the early diagnosis of these diseases. T2-weighted MRI examination showed high-signal intensity in the abscess. Most bacteria infecting the blood stream are gram-positive Staphylococcus, generally MRSA. Therefore, the incidence of MRSA-related osteomyelitis and iliopsoas muscle abscess is high. Treatment of blood stream infection with anti-MRSA antibiotics is highly recommended. |