Combined MRSA Spondylodiscitis Managed Conservatively in a Dialysis Patient: A Case Report

Abstract

Spinal infections comprise a large spectrum of clinical manifestations with multiple etiologies. Therefore, early detection and management are imperative to reduce morbidity and potential mortality associated with such conditions. Treatment modalities include using antibiotics based on the etiological agent and the neurosurgical team's possible intervention involvement. We present the case of a 52-year-old male patient who presented with lower back pain and was diagnosed with MRSA spondylodiscitis confirmed radiologically with MRI spine on a background of recent admission with MRSA line sepsis that was confirmed microbiologically through blood cultures. The patient was treated conservatively with a prolonged course of antibiotics and was followed up routinely to monitor response to treatment. Our case report describes MRSA spondylodiscitis clinical manifestation, diagnostic tests, treatment plan, and long-term outcome.