PARASPINAL MUSCLE ABSCESS DUE TO METfflCILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) IN A PATIENT WITH CHRONIC RENAL FAILURE

A patient with diabetic nephropathy admitted with complaints of fever and severe back pain. Lumbar computerized tomography and magnetic resonance imaging disclosed paraspinal muscle abscess. Inoculatioiis of the aspirate yielded growth of methicillin-resistant Staphylococcus aureus. Therapy involved surgical evacuation and appropriate antibiotic resulted in a favorable outcome. 

Because of suppressed immune system, patients with chronic renal failure and diabetes are susceptible to infections. Pyomyositis is a primary infection of skeletal muscle that rapidly leads to abscess formation. Staphylococcus aureus is the most common pathogen. Pyomyositis is relatively uncommon in temperate climates. In temperate climates it is seen especially in immunocompromised patients.

Here we report a case of paraspinal pyomyositis with abscess formation in an immunocompromised patient demonstrating typical aspects of diagnosis and treatment