Beyin cerrahisi ameliyatı sonrasında metisiline dirençli staphylococus aureus’a bağlı spondilodiskit gelişen olgu

Öz

Metisiline dirençli Staphylococcusaureus (MRSA) sıklıkla hastane kaynaklı nadiren ise toplum kaynaklı infeksiyonlara neden olabilir. MRSA’ya bağlı spondilodiskit oldukça nadir görünen bir klinik tablodur. Bu yazıda, MRSA’ya bağlı cerrahi girişim sonrasında spondilodiskit gelişen, infeksiyon odağı araştırılmasına rağmen saptanamayan, 49 yaşında kadın hasta sunularak tedavi gözden geçirildi. Hastada 4 hafta intravenöz teikoplanin tedavisi sonrasında görüntüleme, klinik, ve laboratuvar bulguları geriledi, tedavisi 6 haftaya tamamlanmak üzere oral tedavi ile hasta taburcu edildi. Sonuç olarak, ameliyat sonrasında spondilodiskit gelişen hastalarda etkeninin hastane kaynaklı MRSA olabileceği akılda tutulmalı ve hastalardan tanıya yönelik gerekli mikrobiyolojik incelemeler yapılmalıdır.

Anahtar Kelimeler

• spondilodiskit
• metisiline dirençli Staphylococcus aureus
• tedavi

Spondylodiscitis case due to methicilline-resistant staphylococus aureus after neurosurgery

Abstract

Methicillin-resistant Staphylococcusvaureus (MRSA) can cause hospital-acquired infections and rarely community-acquired infections. Spondylodiscitis due to MRSA is an extremely rare clinical picture. In this article, a 49-year-old female patient who developed spondylodiscitis after surgical intervention due to MRSA and whose infection focus was not detected despite of investigating, was presented and the treatment was reviewed. After 4 weeks of intravenous teicoplanin treatment, imaging, clinical, and laboratory findings were regressed, and the patient was discharged with oral treatment to complete 6 weeks. In conclusion, it should be kept in mind that in patients with spondylodiscitis after surgical operation, the causative agent may be nosocomial MRSA and diagnostic microbiological investigations should be performed.

Keywords

• spondylodiscitis
• Methicillin resistant Staphylococcus aureus
• treatment

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