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Journal of Korean Neurosurgical Society 2010;47(3): 235-238.
doi: https://doi.org/10.3340/jkns.2010.47.3.235
Delayed Diagnosis of Tuberculous Spondylitis Masked by Concomitant Methicillin Resistant Staphylococcus Aureus Infection.
Yong Min Kim, Jae Hun Cha
Department of Neurosurgery, Maryknoll Medical Center, Busan, Korea. santanar@hanmail.net
ABSTRACT
We present a case of tuberculous spondylitis in which diagnosis was masked by a concomitant pyogenic infection. The patient had undergone percutaneous needle aspiration of an abscess in the cavity of the psoas muscle. Early results from the culture regimen showed isolation of methicillin-resistant Staphylococcus aureus. After eight weeks, mycobacterium tuberculosis was grown at regimen which was cultured at the same site. Initial isolation of pyogenic bacteria, considered to be highly virulent organisms, led to delayed diagnosis and treatment of the tuberculosis.
Key Words: Tuberculous spondylitis; Pyogenic spondylitis; Concomitant infection
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