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Journal of Tropical Medicine
Volume 2011, Article ID 970848, 4 pages
Case Report

Community-Acquired MRSA Pyomyositis: Case Report and Review of the Literature

1Yale University School of Medicine, Waterbury Hospital Campus, 64 Robbins Street, Pomeroy 3, Waterbury, CT 06721, USA
2Yale New Haven Hospital, New Haven, CT 06511, USA

Received 4 September 2010; Revised 11 December 2010; Accepted 12 January 2011

Academic Editor: Gerd Pluschke

Copyright © 2011 Douglas P. Olson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) is responsible for a broad range of infections. We report the case of a 46-year-old gentleman with a history of untreated, uncomplicated Hepatitis C who presented with a 2-month history of back pain and was found to have abscesses in his psoas and right paraspinal muscles with subsequent lumbar spine osteomyelitis. Despite drainage and appropriate antibiotic management the patient's clinical condition deteriorated and he developed new upper extremity weakness and sensory deficits on physical exam. Repeat imaging showed new, severe compression of the spinal cord and cauda equina from C1 to the sacrum by a spinal epidural abscess. After surgical intervention and continued medical therapy, the patient recovered completely. This case illustrates a case of CA-MRSA pyomyositis that progressed to lumbar osteomyelitis and a spinal epidural abscess extending the entire length of the spinal canal.