Methicillin-Resistant Staphylococcus aureus as a Cause of Lumbar Facet Joint Septic Arthritis
The Journal of Bone and Joint Surgery (American). 2010;92:465-468.
doi:10.2106/JBJS.H.01888 2010
A Report of Two Cases
Venkatesh Krishnan, DNB(Orth)1, R. Amritanand, MS(Orth)1 and G.D. Sundararaj, MCh, MS(Orth)
Spinal Disorders Services, Department of Orthopaedics Unit 1, Christian Medical College, Vellore, Tamil Nadu-632004, India.
Introduction
Hematogenous septic arthritis of the lumbar facet is a well-recognized although rare1-5 primary infectious entity of the spine. Traditionally, the most commonly implicated organism has been
Staphylococcus aureus1,2,6. Although there have been reports of methicillin-resistant
Staphylococcus aureus (MRSA) spondylodiscitis7, methicillin-resistant
Staphylococcus aureus as a cause of hematogenous facet joint septic arthritis has not been described, to our knowledge. We report our experience with the treatment of two cases of facet joint septic arthritis due to methicillin-resistant
Staphylococcus aureus. The patients were informed that data concerning these cases would be submitted for publication, and they consented.
Case Reports
CASE 1. A fifty-three-year-old man presented with an eighteen-day history of severe back pain radiating to the left lower limb. He was unable to walk because of the intensity of pain. He had retention of urine, for which he required catheterization. Apart from being a chronic smoker, he had no medical
. . .
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