A case of Staphylococcus epidermidis osteomyelitis in the absence of spine hardware
Staphylococcus epidermidis is a typically indolent pathogen that is often considered a blood culture contaminant. It is a rare and unexpected cause of osteomyelitis, especially in the absence of recent surgical intervention or orthopedic implants. We highlight a case in which a 90-year-old Caucasian...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | IDCases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250924000040 |
| _version_ | 1797261856750960640 |
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| author | Erin Coonahan Bita Shahrvini Morgan Birabaharan Nikdokht Farid Annie Cowell |
| author_facet | Erin Coonahan Bita Shahrvini Morgan Birabaharan Nikdokht Farid Annie Cowell |
| author_sort | Erin Coonahan |
| collection | DOAJ |
| description | Staphylococcus epidermidis is a typically indolent pathogen that is often considered a blood culture contaminant. It is a rare and unexpected cause of osteomyelitis, especially in the absence of recent surgical intervention or orthopedic implants. We highlight a case in which a 90-year-old Caucasian male with no recent spine surgery was found to have osteomyelitis of the lumbar spine and repeat positive blood cultures for methicillin resistant Staphylococcus epidermidis (MRSE). Further investigation revealed a history of mitral valve replacement and a new diagnosis of endocarditis leading to persistent bacteremia and seeding of his lumbar vertebrae. This case demonstrates that S. epidermidis can cause vertebral osteomyelitis resulting in severe complications that are more similar to highly pathogenic bacteria. We describe the steps to diagnosing this chronic undetected infection and related comorbidities. |
| first_indexed | 2024-03-08T12:52:39Z |
| format | Article |
| id | doaj.art-aecf291a02cc46e0a548b9931841aa0b |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-04-24T23:47:52Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-aecf291a02cc46e0a548b9931841aa0b2024-03-15T04:43:31ZengElsevierIDCases2214-25092024-01-0135e01928A case of Staphylococcus epidermidis osteomyelitis in the absence of spine hardwareErin Coonahan0Bita Shahrvini1Morgan Birabaharan2Nikdokht Farid3Annie Cowell4School of Medicine, University of California San Diego (UCSD), 9500 Gilman Drive, La Jolla, CA 92093, USASchool of Medicine, University of California San Diego (UCSD), 9500 Gilman Drive, La Jolla, CA 92093, USADivision of Infectious Diseases and Global Public Health, UC San Diego Health Department of Medicine, San Diego, California, USADepartment of Radiology, University of California San Diego, La Jolla, CA, USADivision of Infectious Diseases and Global Public Health, UC San Diego Health Department of Medicine, San Diego, California, USA; Corresponding author.Staphylococcus epidermidis is a typically indolent pathogen that is often considered a blood culture contaminant. It is a rare and unexpected cause of osteomyelitis, especially in the absence of recent surgical intervention or orthopedic implants. We highlight a case in which a 90-year-old Caucasian male with no recent spine surgery was found to have osteomyelitis of the lumbar spine and repeat positive blood cultures for methicillin resistant Staphylococcus epidermidis (MRSE). Further investigation revealed a history of mitral valve replacement and a new diagnosis of endocarditis leading to persistent bacteremia and seeding of his lumbar vertebrae. This case demonstrates that S. epidermidis can cause vertebral osteomyelitis resulting in severe complications that are more similar to highly pathogenic bacteria. We describe the steps to diagnosing this chronic undetected infection and related comorbidities.http://www.sciencedirect.com/science/article/pii/S2214250924000040OsteomyelitisStaphylococcus epidermidisEndocarditisMagnetic Resonance Imaging (MRI) |
| spellingShingle | Erin Coonahan Bita Shahrvini Morgan Birabaharan Nikdokht Farid Annie Cowell A case of Staphylococcus epidermidis osteomyelitis in the absence of spine hardware IDCases Osteomyelitis Staphylococcus epidermidis Endocarditis Magnetic Resonance Imaging (MRI) |
| title | A case of Staphylococcus epidermidis osteomyelitis in the absence of spine hardware |
| title_full | A case of Staphylococcus epidermidis osteomyelitis in the absence of spine hardware |
| title_fullStr | A case of Staphylococcus epidermidis osteomyelitis in the absence of spine hardware |
| title_full_unstemmed | A case of Staphylococcus epidermidis osteomyelitis in the absence of spine hardware |
| title_short | A case of Staphylococcus epidermidis osteomyelitis in the absence of spine hardware |
| title_sort | case of staphylococcus epidermidis osteomyelitis in the absence of spine hardware |
| topic | Osteomyelitis Staphylococcus epidermidis Endocarditis Magnetic Resonance Imaging (MRI) |
| url | http://www.sciencedirect.com/science/article/pii/S2214250924000040 |
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